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NPI 1588754170

NPI 1588754170 : JANA LYNN FRANKE DDS : FRANKFORT, MI

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General NPI Number Information
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    NPI Number           |    1588754170
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    Entity Type          |    Individual 
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    Provider Name        |    JANA LYNN FRANKE DDS
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/13/2006
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    2266 FRANKFORT HIGHWAY 
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    City                 |    FRANKFORT
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    State                |    MI
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    Zip                  |    49635-9771
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    Country              |    US
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    Telephone            |    231-352-9221
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    Fax                  |    231-352-9241
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Provider Business Mailing Address
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    Address Line         |    PO BOX 793 
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    City                 |    FRANKFORT
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    State                |    MI
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    Zip                  |    49635-0793
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    Country              |    US
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    Telephone            |    231-352-9221
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    Fax                  |    231-352-9241
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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        |    1223G0001X
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    Taxonomy Name        |    General Practice Dentistry
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    License Number       |    2901015846
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    License Number State |    MI
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