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General NPI Number Information
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NPI Number | 1477563369
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Entity Type | Individual
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Provider Name | FRANKLIN LEE IRWIN JR. M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/09/2006
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Last Update Date | 10/18/2017
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Provider Practice Location Address
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Address Line | 11555 CENTRAL PARKWAY SUITE 304
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City | JACKSONVILLE
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State | FL
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Zip | 32224
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Country | US
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Telephone | 904-265-7755
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Fax | 904-265-7754
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Provider Business Mailing Address
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Address Line | 7855 ARGYLE FOREST BLVD STE 101
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City | JACKSONVILLE
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State | FL
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Zip | 32244-5597
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Country | US
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Telephone | 904-282-6331
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Fax | 904-619-1080
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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 | A105673
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | A105673
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | C1-0007425
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License Number State | DE
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Taxonomy #4
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | ME115817
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License Number State | FL
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