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General NPI Number Information
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NPI Number | 1275990301
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Entity Type | Organization
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Legal Business Name | DENNIS FRANK
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Dates
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Enumeration Date | 01/20/2016
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Last Update Date | 01/20/2016
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Provider Practice Location Address
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Address Line | 6 SOUTHGATRE AVE
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City | ANNAPOLIS
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State | MD
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Zip | 21401
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Country | US
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Telephone | 301-980-2077
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Fax |
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Provider Business Mailing Address
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Address Line | 6 SOUTHGATE AVE
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City | ANNAPOLIS
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State | MD
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Zip | 21401-2710
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Country | US
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Telephone | 301-980-2077
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. DENNIS FREDRIC FRANK
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Credential | M.D.
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Telephone | 301-980-2077
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | D0026105
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License Number State | MD
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