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General NPI Number Information
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NPI Number | 1356635510
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Entity Type | Organization
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Legal Business Name | JUSTIN B. FRANKS O.D. P.A.
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Dates
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Enumeration Date | 06/06/2011
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Last Update Date | 06/06/2011
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Provider Practice Location Address
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Address Line | 3016 CASTLE VALLEY DR
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City | BENTON
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State | AR
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Zip | 72019-6976
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Country | US
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Telephone | 501-909-9665
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Fax |
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Provider Business Mailing Address
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Address Line | 3016 CASTLE VALLEY DR
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City | BENTON
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State | AR
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Zip | 72019-6976
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Country | US
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Telephone | 501-909-9665
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Fax |
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Authorized Official
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Title or Position | OPTOMETRIC PHYSICIAN
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Name | DR. JUSTIN B FRANKS
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Credential | O.D.
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Telephone | 501-909-1297
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 2535
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License Number State | AR
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