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General NPI Number Information
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NPI Number | 1497999841
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Entity Type | Individual
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Provider Name | EDMOND MICHAEL FRANKLIN DDS
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Gender | Male
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Dates
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Enumeration Date | 04/29/2009
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Last Update Date | 01/20/2011
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Provider Practice Location Address
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Address Line | 1177 GARDEN WALK BLVD
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City | COLLEGE PARK
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State | GA
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Zip | 30349-6245
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Country | US
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Telephone | 770-997-9090
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Fax |
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Provider Business Mailing Address
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Address Line | 3311 WICKUM RD SW
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City | ATLANTA
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State | GA
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Zip | 30349-1298
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Country | US
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Telephone | 404-202-2398
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 14425
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DNO13853
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License Number State | GA
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