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NPI 1326498320

NPI 1326498320 : GARRETT FITZPATRICK FRANTZ M.D. : TEMPLE, TX

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General NPI Number Information
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    NPI Number           |    1326498320
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    Entity Type          |    Individual 
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    Provider Name        |    GARRETT FITZPATRICK FRANTZ M.D.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    06/21/2016
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    Last Update Date     |    06/21/2016
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Provider Practice Location Address
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    Address Line         |    2306 KINGSBURY DRIVE 
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    City                 |    TEMPLE
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    State                |    TX
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    Zip                  |    76502-7303
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    Country              |    US
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    Telephone            |    480-707-8085
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2306 KINGSBURY DR 
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    City                 |    TEMPLE
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    State                |    TX
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    Zip                  |    76502-7303
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    Country              |    US
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    Telephone            |    480-707-8085
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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        |    207P00000X
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    Taxonomy Name        |    Emergency Medicine Physician
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    License Number       |    BP10057597
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    License Number State |    TX
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