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General NPI Number Information
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NPI Number | 1083917629
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Entity Type | Organization
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Legal Business Name | JOHN P. FRANZONE,MD PC
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Dates
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Enumeration Date | 12/20/2010
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Last Update Date | 12/20/2010
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Provider Practice Location Address
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Address Line | 968 ROANOKE AVE
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City | RIVERHEAD
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State | NY
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Zip | 11901-2731
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Country | US
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Telephone | 631-727-7615
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Fax | 631-727-7695
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Provider Business Mailing Address
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Address Line | 968 ROANOKE AVE
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City | RIVERHEAD
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State | NY
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Zip | 11901-2731
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Country | US
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Telephone | 631-727-7615
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Fax | 631-727-7695
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. JOHN P FRANZONE
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Credential | MD
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Telephone | 631-727-7615
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 122365
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License Number State | NY
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