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General NPI Number Information
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NPI Number | 1558790055
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Entity Type | Organization
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Legal Business Name | FRANK GAVINI MD
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Dates
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Enumeration Date | 11/05/2013
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Last Update Date | 11/05/2013
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Provider Practice Location Address
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Address Line | 880 W 7TH ST STE 105
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City | HANFORD
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State | CA
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Zip | 93230-4926
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Country | US
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Telephone | 559-772-8503
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Fax |
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Provider Business Mailing Address
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Address Line | 880 W 7TH ST STE 105
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City | HANFORD
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State | CA
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Zip | 93230-4926
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Country | US
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Telephone | 559-772-8503
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. FRANK GAVINI
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Credential | M,D
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Telephone | 559-772-8503
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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