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General NPI Number Information
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NPI Number | 1912647876
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Entity Type | Individual
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Provider Name | MICHAEL VINCENT TOMPKINS MD
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Gender | Male
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Dates
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Enumeration Date | 03/30/2022
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Last Update Date | 03/30/2022
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Provider Practice Location Address
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Address Line | 2626 CAPITAL MEDICAL BLVD
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City | TALLAHASSEE
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State | FL
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Zip | 32308-4402
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Country | US
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Telephone | 850-325-7111
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Fax |
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Provider Business Mailing Address
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Address Line | 5424 NOREEN DR NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87111-1919
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Country | US
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Telephone | 505-377-9777
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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