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General NPI Number Information
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NPI Number | 1891103974
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Entity Type | Organization
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Legal Business Name | COMP, INC
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Dates
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Enumeration Date | 08/01/2014
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Last Update Date | 08/01/2014
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Provider Practice Location Address
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Address Line | 1940 FEATHER RIVER BLVD SUITE #O
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City | OROVILLE
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State | CA
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Zip | 95965-5723
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Country | US
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Telephone | 530-534-5135
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Fax | 530-532-0259
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Provider Business Mailing Address
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Address Line | PO BOX 2055
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City | OROVILLE
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State | CA
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Zip | 95965-2055
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Country | US
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Telephone | 530-534-5135
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Fax | 530-532-0259
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | MR. DAVID WALTER MCKINNEY
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Credential | MEDICAL DOCTOR
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Telephone | 530-534-5135
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QX0100X
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Taxonomy Name | Occupational Medicine Clinic/Center
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License Number | G54844
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License Number State | CA
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