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General NPI Number Information
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NPI Number | 1740406719
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Entity Type | Organization
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Legal Business Name | DR. SCOTT COMPTON D.O.
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Dates
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Enumeration Date | 04/18/2007
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Last Update Date | 06/24/2008
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Provider Practice Location Address
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Address Line | 127 S MAIN ST
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City | NEVADA
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State | MO
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Zip | 64772-3363
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Country | US
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Telephone | 417-667-4620
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Fax | 417-667-4650
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Provider Business Mailing Address
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Address Line | 127 S MAIN ST
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City | NEVADA
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State | MO
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Zip | 64772-3363
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Country | US
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Telephone | 417-667-4620
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Fax | 417-667-4650
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. DEBRA LAURIE COMPTON
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Credential | LPN
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Telephone | 417-667-4620
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | R1J25
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License Number State | MO
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