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General NPI Number Information
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NPI Number | 1144553611
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Entity Type | Organization
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Legal Business Name | FRANKLIN EYE CARE OF VIRGINIA BEACH, PLLC
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Dates
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Enumeration Date | 09/15/2009
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Last Update Date | 05/25/2010
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Provider Practice Location Address
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Address Line | 2029 LYNNHAVEN PKWY SUITE 500
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City | VIRGINIA BEACH
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State | VA
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Zip | 23456-1474
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Country | US
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Telephone | 757-619-3315
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Fax |
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Provider Business Mailing Address
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Address Line | 2229 HAVERSHAM CLOSE
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City | VIRGINIA BEACH
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State | VA
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Zip | 23454-1152
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Country | US
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Telephone | 757-619-3315
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | QUENTIN FRANKLIN
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Credential | M.D.
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Telephone | 757-619-3315
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 0101236896
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License Number State | VA
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