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NPI 1831288497

NPI 1831288497 : PATRICIA LUCY COMPTON R.D. : STERLING, VA

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General NPI Number Information
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    NPI Number           |    1831288497
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    Entity Type          |    Individual 
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    Provider Name        |    PATRICIA LUCY COMPTON R.D.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/12/2006
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    10 CHRISTOPHER LN 
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    City                 |    STERLING
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    State                |    VA
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    Zip                  |    20165-6205
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    Country              |    US
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    Telephone            |    703-450-4465
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    Fax                  |    703-450-6156
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Provider Business Mailing Address
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    Address Line         |    10 CHRISTOPHER LN 
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    City                 |    STERLING
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    State                |    VA
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    Zip                  |    20165-6205
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    Country              |    US
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    Telephone            |    703-450-4465
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    Fax                  |    703-450-6156
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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        |    133V00000X
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    Taxonomy Name        |    Registered Dietitian
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    License Number       |    R488001
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    License Number State |    VA
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