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General NPI Number Information
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NPI Number | 1083804728
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Entity Type | Organization
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Legal Business Name | FRANKLIN CLINIC CORP
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Dates
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Enumeration Date | 07/30/2007
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Last Update Date | 05/02/2019
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Provider Practice Location Address
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Address Line | 2790 GODWIN BLVD STE 320
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City | SUFFOLK
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State | VA
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Zip | 23434-8174
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Country | US
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Telephone | 757-942-9806
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Fax | 757-562-7305
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Provider Business Mailing Address
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Address Line | PO BOX 689022
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City | FRANKLIN
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State | TN
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Zip | 37068-9022
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | VP PHYSICIAN BUSINESS SERVICES
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Name | JAMES PATRICK WRIGHT
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Credential |
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Telephone | 615-778-1502
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207XX0005X
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Taxonomy Name | Sports Medicine (Orthopaedic Surgery) Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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