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General NPI Number Information
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NPI Number | 1508822438
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Entity Type | Individual
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Provider Name | FRANK J OKTAVEC PA
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Gender | Male
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Dates
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Enumeration Date | 04/20/2006
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Last Update Date | 11/29/2010
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Provider Practice Location Address
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Address Line | 231 HIGHWAY 515 STE 5
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City | BLAIRSVILLE
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State | GA
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Zip | 30512
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Country | US
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Telephone | 706-745-8790
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Fax | 706-745-8842
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Provider Business Mailing Address
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Address Line | 294 HIGHWAY 515 W UNIT L
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City | BLAIRSVILLE
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State | GA
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Zip | 30512-3662
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Country | US
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Telephone | 706-745-8790
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Fax | 706-745-8842
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 000058
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License Number State | GA
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