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General NPI Number Information
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NPI Number | 1083660344
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Entity Type | Individual
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Provider Name | FRANK F MUSSEMANN M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/26/2006
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Last Update Date | 03/29/2018
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Provider Practice Location Address
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Address Line | 180 S 3RD ST SUITE 200
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City | BELLEVILLE
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State | IL
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Zip | 62220-1952
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Country | US
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Telephone | 618-233-0017
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Fax | 618-233-0251
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Provider Business Mailing Address
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Address Line | 1407 MCPHERSON AVE
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City | MOUNT VERNON
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State | IL
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Zip | 62864-2822
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Country | US
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Telephone | 618-233-0017
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Fax | 618-233-0251
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 036091400
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License Number State | IL
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