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General NPI Number Information
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NPI Number | 1447258918
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Entity Type | Individual
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Provider Name | ALLAN HIRSCH FRADKIN MD
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Gender | Male
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Dates
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Enumeration Date | 07/08/2005
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Last Update Date | 01/28/2013
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Provider Practice Location Address
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Address Line | 2302 AVENUE P
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City | GALVESTON
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State | TX
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Zip | 77550-7932
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Country | US
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Telephone | 409-765-6324
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Fax | 409-765-8475
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Provider Business Mailing Address
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Address Line | 7155 OLD KATY RD N100
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City | HOUSTON
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State | TX
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Zip | 77024-2134
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Country | US
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Telephone | 713-668-6828
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Fax | 832-280-3636
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | D4121
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License Number State | TX
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