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General NPI Number Information
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NPI Number | 1164574372
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Entity Type | Individual
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Provider Name | FRANK ALAN GERMANO M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/17/2007
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Last Update Date | 02/05/2019
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Provider Practice Location Address
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Address Line | 7267 POTOMAC DR
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City | BOISE
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State | ID
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Zip | 83704-9150
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Country | US
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Telephone | 208-321-9550
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Fax | 208-323-9070
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Provider Business Mailing Address
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Address Line | 3210 E CHINDEN BLVD #115-523
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City | EAGLE
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State | ID
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Zip | 83616-6763
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Country | US
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Telephone | 208-321-9550
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Fax | 208-323-9070
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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 | 2084P0805X
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Taxonomy Name | Geriatric Psychiatry Physician
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License Number | M6022
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License Number State | ID
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