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General NPI Number Information
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NPI Number | 1134386998
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Entity Type | Individual
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Provider Name | MICHELE ELIZABETH FRANK M.T.
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Gender | Female
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Dates
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Enumeration Date | 05/20/2008
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Last Update Date | 05/20/2008
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Provider Practice Location Address
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Address Line | 10,000 BAY PINES BLVD P&LMS (113), BLDG 100, RM 2B-129
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City | BAY PINES
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State | FL
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Zip | 33744
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Country | US
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Telephone | 727-398-6661
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Fax | 727-319-1205
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Provider Business Mailing Address
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Address Line | 10405 MAJESTIC DR
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City | LARGO
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State | FL
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Zip | 33774-5047
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Country | US
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Telephone | 727-517-2732
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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 | 246QM0706X
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Taxonomy Name | Medical Technologist
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License Number | TN36107
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License Number State | FL
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