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General NPI Number Information
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NPI Number | 1124202726
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Entity Type | Organization
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Legal Business Name | E FRANKLIN LIVINGSTONE MD PC
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Dates
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Enumeration Date | 12/19/2007
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Last Update Date | 03/04/2013
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Provider Practice Location Address
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Address Line | 297 LAKE HAVASU AVE S STE 106
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City | LAKE HAVASU CITY
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State | AZ
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Zip | 86403-6526
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Country | US
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Telephone | 928-854-0011
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Fax | 928-854-0012
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Provider Business Mailing Address
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Address Line | 3560 ORO GRANDE BLVD # 1000
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City | LAKE HAVASU CITY
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State | AZ
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Zip | 86406-7209
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Country | US
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Telephone | 928-854-0011
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Fax | 928-854-0012
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Authorized Official
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Title or Position | PHYSICIAN
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Name | E FRANKLIN LIVINGSTONE MD PC
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Credential | MD
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Telephone | 928-854-0011
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 31013
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License Number State | AZ
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