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General NPI Number Information
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NPI Number | 1326263922
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Entity Type | Individual
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Provider Name | FRANK EDWARD DENKINS SR. BACHELORS
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Gender | Male
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Dates
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Enumeration Date | 04/17/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 8656 HERITAGE PL UNIT #105
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City | DETROIT
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State | MI
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Zip | 48204-3779
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Country | US
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Telephone | 313-878-2919
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Fax |
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Provider Business Mailing Address
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Address Line | 8656 HERITAGE PLACE UNIT #105
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City | DETROIT
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State | MI
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Zip | 48201
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Country | US
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Telephone | 313-878-2919
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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 | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number | 820152
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License Number State | MI
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