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General NPI Number Information
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NPI Number | 1013984954
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Entity Type | Organization
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Legal Business Name | FRAUM CHIROPRACTIC LIFE CENTER, P.A.
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Dates
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Enumeration Date | 02/28/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1403 MAIN ST
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City | HILTON HEAD ISLAND
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State | SC
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Zip | 29926-1654
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Country | US
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Telephone | 843-681-7777
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Fax | 843-681-7775
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Provider Business Mailing Address
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Address Line | PO BOX 23768
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City | HILTON HEAD ISLAND
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State | SC
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Zip | 29925-3768
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Country | US
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Telephone | 843-681-7777
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Fax | 843-681-7775
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Authorized Official
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Title or Position | VIICE PRESIDENT
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Name | MRS. SHARON ANN FRAUM
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Credential |
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Telephone | 843-681-7777
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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