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General NPI Number Information
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NPI Number | 1558173419
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Entity Type | Individual
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Provider Name | PATRICK FRANCILIEN
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Gender | Male
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Dates
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Enumeration Date | 01/27/2025
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 300 45TH ST S STE 318
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City | FARGO
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State | ND
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Zip | 58103-6511
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Country | US
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Telephone | 410-908-6385
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Fax |
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Provider Business Mailing Address
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Address Line | 6537 PARNELL AVE
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City | DUNDALK
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State | MD
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Zip | 21222-4006
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Country | US
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Telephone | 410-308-1302
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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 | 103TF0000X
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Taxonomy Name | Family Psychologist
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License Number | 1234
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License Number State | LA
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