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General NPI Number Information
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NPI Number | 1275702540
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Entity Type | Organization
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Legal Business Name | FRANK MCBRAYER, M.D. PSC
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Dates
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Enumeration Date | 02/21/2008
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Last Update Date | 02/21/2008
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Provider Practice Location Address
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Address Line | 236 E MAIN ST
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City | RICHMOND
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State | KY
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Zip | 40475-1628
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Country | US
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Telephone | 859-623-2844
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Fax | 859-623-2110
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Provider Business Mailing Address
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Address Line | 236 E MAIN ST
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City | RICHMOND
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State | KY
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Zip | 40475-1628
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Country | US
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Telephone | 859-623-2844
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Fax | 859-623-2110
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Authorized Official
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Title or Position | OWNER
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Name | DR. LUCIEN FRANKLIN MCBRAYER
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Credential | M.D.
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Telephone | 859-623-2844
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 19059
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License Number State | KY
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