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General NPI Number Information
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NPI Number | 1356676449
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Entity Type | Organization
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Legal Business Name | FRANK MABEN DPM LLC
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Dates
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Enumeration Date | 10/07/2009
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Last Update Date | 10/07/2009
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Provider Practice Location Address
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Address Line | 3120 E KINGBIRD CT
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City | GILBERT
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State | AZ
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Zip | 85297-8163
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Country | US
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Telephone | 480-600-6231
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Fax | 480-988-5251
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Provider Business Mailing Address
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Address Line | 3120 E KINGBIRD CT
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City | GILBERT
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State | AZ
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Zip | 85297-8163
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Country | US
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Telephone | 480-600-6231
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Fax | 480-988-5251
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Authorized Official
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Title or Position | PRINCIPAL OFFICER
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Name | DR. FRANK G MABEN
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Credential | DPM
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Telephone | 480-600-6231
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 0649
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License Number State | AZ
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