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General NPI Number Information
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NPI Number | 1881763951
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Entity Type | Individual
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Provider Name | MARIANNE TOMPKINS D.O.
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Gender | Female
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Dates
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Enumeration Date | 11/06/2006
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Last Update Date | 01/15/2013
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Provider Practice Location Address
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Address Line | 200 S ORANGE AVE SUITE 201
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City | LIVINGSTON
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State | NJ
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Zip | 07039-5817
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Country | US
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Telephone | 973-322-7246
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Fax | 973-322-7791
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Provider Business Mailing Address
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Address Line | 30B VREELAND RD PO BOX 0037
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City | FLORHAM PARK
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State | NJ
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Zip | 07932-1926
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Country | US
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Telephone |
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | MB05034100
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | MB05034100
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | MB05034100
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License Number State | NJ
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Taxonomy #4
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Taxonomy Code | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number | MB05034100
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License Number State | NJ
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