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NPI 1053783845

NPI 1053783845 : DR. HEIDI LOUISE FRANK, O.D. : CHELMSFORD, MA

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General NPI Number Information
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    NPI Number           |    1053783845
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    Entity Type          |    Organization 
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    Legal Business Name  |    DR. HEIDI LOUISE FRANK, O.D. 
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Dates
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    Enumeration Date     |    10/20/2015
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    Last Update Date     |    10/23/2015
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Provider Practice Location Address
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    Address Line         |    60 CHELMSFORD ST 
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    City                 |    CHELMSFORD
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    State                |    MA
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    Zip                  |    01824-3099
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    Country              |    US
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    Telephone            |    978-256-6565
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    Fax                  |    978-455-4859
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Provider Business Mailing Address
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    Address Line         |    60 CHELMSFORD ST 
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    City                 |    CHELMSFORD
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    State                |    MA
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    Zip                  |    01824-3099
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    Country              |    US
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    Telephone            |    978-256-6565
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    Fax                  |    978-455-4859
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Authorized Official
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    Title or Position    |    OPTOMETRIST
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    Name                 |    DR. HEIDI LOUISE FRANK 
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    Credential           |    O.D.
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    Telephone            |    978-256-6565
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    152W00000X
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    Taxonomy Name        |    Optometrist
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    License Number       |    0623
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    License Number State |    NH
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