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General NPI Number Information
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NPI Number | 1003922907
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Entity Type | Individual
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Provider Name | FRANK E GIBBONS DMD
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Gender | Male
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Dates
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Enumeration Date | 08/22/2006
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Last Update Date | 07/21/2010
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Provider Practice Location Address
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Address Line | 28 SANDPIPER DRIVE
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City | WEST WARRICK
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State | RI
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Zip | 02893
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Country | US
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Telephone | 401-447-6073
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Fax |
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Provider Business Mailing Address
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Address Line | 28 SANDPIPER DRIVE
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City | WEST WARRICK
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State | RI
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Zip | 02893
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Country | US
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Telephone | 401-447-6073
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DN013381
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License Number State | GA
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