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General NPI Number Information
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NPI Number | 1508128067
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Entity Type | Individual
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Provider Name | MR. FRANK GIORDANO
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Gender | Male
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Dates
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Enumeration Date | 06/11/2012
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Last Update Date | 10/13/2016
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Provider Practice Location Address
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Address Line | 532 BROAD ST
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City | BLOOMFIELD
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State | NJ
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Zip | 07003-2762
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Country | US
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Telephone | 973-932-3151
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Fax |
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Provider Business Mailing Address
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Address Line | 375 CENTRE ST
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City | NUTLEY
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State | NJ
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Zip | 07110-2736
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Country | US
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Telephone | 973-932-3151
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 18KT00707900
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License Number State | NJ
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