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General NPI Number Information
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NPI Number | 1417293465
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Entity Type | Organization
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Legal Business Name | FRANKFORD MEDICAL GROUP, PA
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Dates
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Enumeration Date | 12/19/2012
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Last Update Date | 02/13/2013
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Provider Practice Location Address
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Address Line | 4727 FRANKFORD RD STE 409
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City | DALLAS
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State | TX
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Zip | 75287-7132
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Country | US
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Telephone | 469-358-4361
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Fax |
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Provider Business Mailing Address
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Address Line | 5300 KELLER SPRINGS RD #2054
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City | DALLAS
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State | TX
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Zip | 75248-2775
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Country | US
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Telephone | 469-358-4361
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | BEATA TOTH
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Credential |
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Telephone | 469-358-4361
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State | TX
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