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General NPI Number Information
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NPI Number | 1821052853
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Entity Type | Individual
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Provider Name | GAIL COMPTON NP
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Gender | Female
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Dates
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Enumeration Date | 04/14/2006
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Last Update Date | 06/18/2012
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Provider Practice Location Address
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Address Line | 246 RE HIGHWAY 54
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City | CAMDENTON
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State | MO
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Zip | 65020
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Country | US
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Telephone | 573-317-1150
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Fax | 573-317-1151
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Provider Business Mailing Address
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Address Line | 940 EXECUTIVE DR
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City | OSAGE BEACH
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State | MO
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Zip | 65065-3497
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Country | US
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Telephone | 573-302-7891
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Fax | 573-302-7974
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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 | 163WG0000X
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Taxonomy Name | General Practice Registered Nurse
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License Number | 149317
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License Number State | MO
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