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General NPI Number Information
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NPI Number | 1306875133
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Entity Type | Organization
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Legal Business Name | R. FRANK ROBERTS, JR., M.D., P.C.
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Dates
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Enumeration Date | 07/02/2006
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Last Update Date | 08/04/2008
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Provider Practice Location Address
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Address Line | 201 SIVLEY RD SW STE 410
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City | HUNTSVILLE
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State | AL
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Zip | 35801-5146
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Country | US
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Telephone | 256-517-1522
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Fax | 256-534-2132
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Provider Business Mailing Address
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Address Line | 201 SIVLEY RD SW STE 410
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City | HUNTSVILLE
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State | AL
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Zip | 35801-5146
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Country | US
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Telephone | 256-517-1522
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Fax | 256-534-2132
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. R FRANK ROBERTS JR.
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Credential | M.D.
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Telephone | 256-517-1522
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 12306
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License Number State | AL
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