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NPI 1427000652

NPI 1427000652 : FRANKLIN FAMILY PRACTICE PA : FRANKLIN, NC

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General NPI Number Information
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    NPI Number           |    1427000652
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    Entity Type          |    Organization 
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    Legal Business Name  |    FRANKLIN FAMILY PRACTICE PA 
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Dates
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    Enumeration Date     |    05/16/2006
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    Last Update Date     |    12/31/2025
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Provider Practice Location Address
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    Address Line         |    36 WESTGATE PLZ 
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    City                 |    FRANKLIN
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    State                |    NC
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    Zip                  |    28734-1422
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    Country              |    US
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    Telephone            |    828-421-0460
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    Fax                  |    828-349-6767
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Provider Business Mailing Address
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    Address Line         |    36 WESTGATE PLZ 
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    City                 |    FRANKLIN
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    State                |    NC
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    Zip                  |    28734-1422
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    Country              |    US
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    Telephone            |    828-369-4244
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    Fax                  |    828-349-6767
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     TIMOTHY ALAN BLECKLEY 
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    Credential           |    MD
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    Telephone            |    828-369-4244
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    32974
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    License Number State |    NC
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