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General NPI Number Information
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NPI Number | 1144390535
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Entity Type | Individual
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Provider Name | FRANK KIRK D.O.
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Gender | Male
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Dates
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Enumeration Date | 11/09/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 15040 S RAVINIA AVE STE 44
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City | ORLAND PARK
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State | IL
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Zip | 60462-3173
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Country | US
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Telephone | 708-226-1280
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Fax | 708-226-5810
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Provider Business Mailing Address
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Address Line | PO BOX 114
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City | ORLAND PARK
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State | IL
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Zip | 60462-0114
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Country | US
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Telephone | 708-226-1280
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Fax | 708-226-5810
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 036079537
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License Number State | IL
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