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General NPI Number Information
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NPI Number | 1467525808
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Entity Type | Individual
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Provider Name | FRANK ROBERT GENCO M.D.
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Gender | Male
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Dates
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Enumeration Date | 11/15/2006
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Last Update Date | 06/05/2017
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Provider Practice Location Address
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Address Line | 8245 PRECINCT LINE RD SUITE 100
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City | NORTH RICHLAND HILLS
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State | TX
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Zip | 76180-1672
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Country | US
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Telephone | 817-503-8800
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Fax | 817-503-8801
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Provider Business Mailing Address
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Address Line | 1104 JOHN MCCAIN RD
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City | COLLEYVILLE
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State | TX
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Zip | 76034-6315
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Country | US
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Telephone | 817-503-8800
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Fax | 817-503-8801
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | J3478
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | J3478
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License Number State | TX
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