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General NPI Number Information
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NPI Number | 1275643454
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Entity Type | Individual
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Provider Name | MITCHELL M. FRANK PSY.D
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Gender | Male
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 11021 73RD RD APT 1J
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City | FOREST HILLS
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State | NY
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Zip | 11375-6369
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Country | US
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Telephone | 646-331-0322
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Fax |
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Provider Business Mailing Address
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Address Line | 10915 QUEENS BLVD APT 1K
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City | FOREST HILLS
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State | NY
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Zip | 11375-5483
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Country | US
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Telephone | 718-544-5237
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 012366
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License Number State | NY
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