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General NPI Number Information
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NPI Number | 1336968445
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Entity Type | Individual
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Provider Name | CONNOR BRENDAN FRONK CPO
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Gender | Female
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Dates
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Enumeration Date | 10/07/2024
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Last Update Date | 10/07/2024
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Provider Practice Location Address
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Address Line | 1200 CHILDRENS AVE STE BA
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City | OKLAHOMA CITY
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State | OK
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Zip | 73104-4637
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Country | US
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Telephone | 405-271-3644
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Fax |
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Provider Business Mailing Address
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Address Line | 2705 HUNTLEIGH DR
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City | THE VILLAGE
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State | OK
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Zip | 73120-2805
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Country | US
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Telephone | 817-800-2330
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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 | 222Z00000X
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Taxonomy Name | Orthotist
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License Number | 87
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License Number State | OK
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