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General NPI Number Information
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NPI Number | 1750178976
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Entity Type | Individual
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Provider Name | DEMARISA N TOMPKINS
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Gender | Female
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Dates
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Enumeration Date | 04/22/2025
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Last Update Date | 04/22/2025
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Provider Practice Location Address
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Address Line | 252 W 149TH ST APT 4B
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City | NEW YORK
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State | NY
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Zip | 10039-2845
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Country | US
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Telephone | 929-740-6246
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Fax |
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Provider Business Mailing Address
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Address Line | 1631 PATERSON PLANK RD APT 326
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City | SECAUCUS
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State | NJ
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Zip | 07094-4173
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Country | US
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Telephone | 646-241-1419
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Fax |
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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 | 374J00000X
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Taxonomy Name | Doula
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License Number | NA
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License Number State | NY
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