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General NPI Number Information
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NPI Number | 1447315130
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Entity Type | Individual
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Provider Name | E. FRANKLIN LIVINGSTONE MD PC M.D.
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Gender | Male
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Dates
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Enumeration Date | 12/24/2006
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Last Update Date | 05/07/2009
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Provider Practice Location Address
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Address Line | 1519 QUEENS BAY STE 201
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City | LAKE HAVASU CITY
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State | AZ
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Zip | 86403-6585
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Country | US
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Telephone | 928-854-0011
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Fax | 928-854-0012
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Provider Business Mailing Address
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Address Line | 3560 ORO GRANDE BLVD # 1000
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City | LAKE HAVASU CITY
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State | AZ
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Zip | 86406-7209
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Country | US
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Telephone | 928-854-0011
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Fax | 928-854-0012
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 31013
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License Number State | AZ
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