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General NPI Number Information
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NPI Number | 1447335047
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Entity Type | Individual
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Provider Name | FRANK RANDOLPH EMERSON D.C.
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Gender | Male
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Dates
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Enumeration Date | 10/25/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 68895 PEREZ RD STE. 4
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City | CATHEDRAL CITY
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State | CA
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Zip | 92234-7255
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Country | US
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Telephone | 760-321-1115
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Fax | 760-321-1214
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Provider Business Mailing Address
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Address Line | 44180 DALEA CT
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City | LA QUINTA
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State | CA
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Zip | 92253-4800
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Country | US
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Telephone | 760-772-9915
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Fax |
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | DC 273250
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License Number State | CA
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