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General NPI Number Information
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NPI Number | 1134569163
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Entity Type | Organization
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Legal Business Name | EVITA C FRANK
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Dates
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Enumeration Date | 07/05/2013
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Last Update Date | 07/05/2013
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Provider Practice Location Address
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Address Line | 17901 136TH AVE
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City | JAMAICA
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State | NY
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Zip | 11434-4105
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Country | US
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Telephone | 718-341-7272
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Fax |
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Provider Business Mailing Address
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Address Line | 17901 136TH AVE
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City | JAMAICA
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State | NY
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Zip | 11434-4105
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Country | US
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Telephone | 718-341-7272
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Fax |
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Authorized Official
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Title or Position | RN
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Name | MS. EVITA C FRANK
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Credential |
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Telephone | 718-341-7272
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number | 272205
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 332BD1200X
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Taxonomy Name | Dialysis Equipment & Supplies (DME)
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License Number | 272205
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 332BN1400X
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Taxonomy Name | Nursing Facility Supplies (DME)
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License Number | 272205
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 332BP3500X
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Taxonomy Name | Parenteral & Enteral Nutrition Supplies (DME)
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License Number | 272205
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License Number State | NY
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Taxonomy #5
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number | 272205
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License Number State | NY
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Taxonomy #6
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 272205
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License Number State | NY
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