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General NPI Number Information
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NPI Number | 1114652658
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Entity Type | Individual
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Provider Name | CORA FRANTZ FNP-C, DNP
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Gender | Female
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Dates
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Enumeration Date | 07/19/2022
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Last Update Date | 01/16/2025
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Provider Practice Location Address
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Address Line | 910 S CENTRAL AVE
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City | MEDFORD
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State | OR
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Zip | 97501-7854
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Country | US
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Telephone | 541-535-6239
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Fax |
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Provider Business Mailing Address
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Address Line | 931 CHEVY WAY
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City | MEDFORD
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State | OR
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Zip | 97504-4127
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Country | US
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Telephone | 541-690-3555
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Fax |
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 202210372NP-PP
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License Number State | OR
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