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NPI 1306992466

NPI 1306992466 : FRANK DANIEL : FLORALA, AL

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General NPI Number Information
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    NPI Number           |    1306992466
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    Entity Type          |    Organization 
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    Legal Business Name  |    FRANK DANIEL 
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Dates
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    Enumeration Date     |    01/25/2007
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    Last Update Date     |    12/26/2007
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Provider Practice Location Address
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    Address Line         |    2231 SIXTH ST 
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    City                 |    FLORALA
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    State                |    AL
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    Zip                  |    36442-0043
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    Country              |    US
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    Telephone            |    334-858-8174
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    Fax                  |    334-858-8521
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Provider Business Mailing Address
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    Address Line         |    8201 POMPANO ST 
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    City                 |    NAVARRE
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    State                |    FL
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    Zip                  |    32566-6924
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    Country              |    US
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    Telephone            |    334-858-8174
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    Fax                  |    334-858-8521
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     FRANK  DANIEL 
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    Credential           |    MPT
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    Telephone            |    334-858-8174
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QP2000X
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    Taxonomy Name        |    Physical Therapy Clinic/Center
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    License Number       |    
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    License Number State |    
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