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General NPI Number Information
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NPI Number | 1326315300
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Entity Type | Individual
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Provider Name | FRANK J MAYER R.PH.
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Gender | Male
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Dates
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Enumeration Date | 11/19/2011
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Last Update Date | 11/19/2011
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Provider Practice Location Address
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Address Line | 1570 11TH ST
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City | HUNTSVILLE
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State | TX
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Zip | 77340-3816
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Country | US
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Telephone | 936-291-6764
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Fax |
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Provider Business Mailing Address
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Address Line | 25302 METZLER CREEK DR
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City | SPRING
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State | TX
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Zip | 77389
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Country | US
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Telephone | 281-255-9338
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 21803
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License Number State | TX
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