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General NPI Number Information
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NPI Number | 1982120218
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Entity Type | Individual
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Provider Name | AMANDA MARIE TOMPKINS DDS, MS
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Gender | Female
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Dates
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Enumeration Date | 08/17/2017
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Last Update Date | 05/01/2025
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Provider Practice Location Address
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Address Line | 9334 GRAND CORDERA PKWY
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City | COLORADO SPRINGS
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State | CO
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Zip | 80924-7000
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Country | US
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Telephone | 719-282-6666
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Fax |
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Provider Business Mailing Address
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Address Line | 2606 LAKE OF THE ROCKIES DR
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City | MONUMENT
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State | CO
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Zip | 80132-7500
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Country | US
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Telephone | 719-360-8130
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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 | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 00203316
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License Number State | CO
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