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General NPI Number Information
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NPI Number | 1063526697
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Entity Type | Individual
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Provider Name | FAITH H FRABLE MD
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Gender | Female
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Dates
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Enumeration Date | 08/19/2006
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Last Update Date | 11/11/2011
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Provider Practice Location Address
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Address Line | 601 PARK ST EMERGENCY DEPT
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City | HONESDALE
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State | PA
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Zip | 18431-1445
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Country | US
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Telephone | 570-253-8140
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Fax | 570-253-8633
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Provider Business Mailing Address
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Address Line | 38935 ANN ARBOR RD
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City | LIVONIA
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State | MI
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Zip | 48150-3397
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Country | US
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Telephone | 734-632-0175
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Fax | 734-632-0182
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD429099
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | MD429099
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License Number State | PA
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