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General NPI Number Information
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NPI Number | 1588250633
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Entity Type | Individual
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Provider Name | MS. VICKI S FRANK
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Gender | Female
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Dates
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Enumeration Date | 12/14/2020
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Last Update Date | 12/14/2020
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Provider Practice Location Address
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Address Line | 811 PARK VILLAGE DR
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City | LOUISVILLE
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State | OH
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Zip | 44641-8443
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Country | US
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Telephone | 330-206-5830
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Fax |
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Provider Business Mailing Address
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Address Line | 811 PARK VILLAGE DR
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City | LOUISVILLE
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State | OH
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Zip | 44641-8443
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Country | US
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Telephone | 330-206-5830
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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 | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number | 7607816
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License Number State | OH
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