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General NPI Number Information
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NPI Number | 1649651142
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Entity Type | Organization
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Legal Business Name | MICHAEL R COMPTON, DC
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Dates
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Enumeration Date | 06/11/2015
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Last Update Date | 06/11/2015
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Provider Practice Location Address
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Address Line | 134 W SPRING ST
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City | SAINT MARYS
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State | OH
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Zip | 45885-2312
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Country | US
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Telephone | 419-300-2225
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Fax | 419-300-6325
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Provider Business Mailing Address
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Address Line | 134 W SPRING ST
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City | SAINT MARYS
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State | OH
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Zip | 45885-2312
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Country | US
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Telephone | 419-300-2225
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Fax | 419-300-6325
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Authorized Official
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Title or Position | OWNER
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Name | DR. MICHAEL RAY COMPTON
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Credential | DC
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Telephone | 419-300-2225
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 2813
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License Number State | OH
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