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General NPI Number Information
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NPI Number | 1568999811
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Entity Type | Individual
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Provider Name | KENICE RASHIDA FRANK DPM
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Gender | Female
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Dates
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Enumeration Date | 05/17/2017
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Last Update Date | 08/21/2025
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Provider Practice Location Address
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Address Line | 508 MEETING ST
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City | WEST COLUMBIA
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State | SC
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Zip | 29169-7535
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Country | US
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Telephone | 727-796-6900
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Fax | 727-669-8417
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Provider Business Mailing Address
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Address Line | 6021 142ND AVE N
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City | CLEARWATER
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State | FL
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Zip | 33760-2822
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Country | US
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Telephone | 727-796-6900
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Fax | 727-669-8417
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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 | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 780
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License Number State | SC
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