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General NPI Number Information
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NPI Number | 1063471480
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Entity Type | Individual
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Provider Name | FRANK A. GREGORY MD
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Gender | Male
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Dates
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Enumeration Date | 03/23/2006
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Last Update Date | 04/14/2021
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Provider Practice Location Address
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Address Line | 171 CALLE CPL FELICIANO RIVERA
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City | LUQUILLO
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State | PR
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Zip | 00773-2147
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Country | US
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Telephone | 939-415-0024
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Fax | 787-534-8385
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Provider Business Mailing Address
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Address Line | PO BOX 77
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City | LUQUILLO
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State | PR
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Zip | 00773-0077
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Country | US
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Telephone | 939-415-0024
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Fax | 787-534-8385
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 14843
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License Number State | PR
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