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General NPI Number Information
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NPI Number | 1275762635
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Entity Type | Individual
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Provider Name | ALICIA ANNE FRANKEN M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/07/2009
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Last Update Date | 06/29/2021
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Provider Practice Location Address
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Address Line | 301 UNIVERSITY BLVD
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City | GALVESTON
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State | TX
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Zip | 77555-0609
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Country | US
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Telephone | 409-772-2870
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 745344
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City | ATLANTA
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State | GA
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Zip | 30374-5344
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Country | US
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Telephone | 409-772-2222
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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 | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | 036.134478
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | 0101272557
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | Q6010
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License Number State | TX
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