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General NPI Number Information
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NPI Number | 1699305417
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Entity Type | Organization
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Legal Business Name | REGINA COLEMAN COMPTON, OD., PSC
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Dates
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Enumeration Date | 01/21/2020
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Last Update Date | 01/21/2020
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Provider Practice Location Address
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Address Line | 338 N. ARNOLD AVENUE
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City | PRESTONBURG
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State | KY
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Zip | 41653-1285
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Country | US
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Telephone | 606-886-2020
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Fax | 606-886-2020
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Provider Business Mailing Address
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Address Line | 338 N. ARNOLD AVENUE
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City | PRESTONBURG
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State | KY
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Zip | 41653-1285
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Country | US
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Telephone | 606-886-2020
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Fax | 606-886-2020
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Authorized Official
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Title or Position | OD OWNER
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Name | REGINA COMPTON
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Credential | OD
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Telephone | 606-886-2020
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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