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General NPI Number Information
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NPI Number | 1366918500
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Entity Type | Organization
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Legal Business Name | FRANKLIN PRIMARY CARE LLC
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Dates
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Enumeration Date | 10/15/2018
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Last Update Date | 03/27/2019
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Provider Practice Location Address
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Address Line | 225 NASSAU BLVD # B
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City | WEST HEMPSTEAD
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State | NY
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Zip | 11552-2247
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Country | US
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Telephone | 516-650-1067
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Fax |
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Provider Business Mailing Address
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Address Line | 225 NASSAU BLVD # B
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City | WEST HEMPSTEAD
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State | NY
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Zip | 11552-2247
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Country | US
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Telephone | 516-247-6828
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Fax | 516-247-6828
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Authorized Official
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Title or Position | PHYSICIAN
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Name | ANN MARIE RODE
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Credential | DO
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Telephone | 516-247-6828
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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