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General NPI Number Information
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NPI Number | 1568841229
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Entity Type | Individual
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Provider Name | HOLLY COMPTON DPT
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Gender | Female
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Dates
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Enumeration Date | 05/27/2015
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Last Update Date | 05/13/2019
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Provider Practice Location Address
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Address Line | 7850 WHITE LN STE E172
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City | BAKERSFIELD
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State | CA
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Zip | 93309-7698
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Country | US
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Telephone | 615-655-3198
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Fax |
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Provider Business Mailing Address
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Address Line | 7850 WHITE LN STE E172
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City | BAKERSFIELD
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State | CA
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Zip | 93309-7698
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Country | US
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Telephone | 615-655-3198
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Fax | 661-365-0152
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT011753
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT43539
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License Number State | CA
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