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NPI 1588768170

NPI 1588768170 : DIANE M FRANKEL MSS : PHILADELPHIA, PA

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General NPI Number Information
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    NPI Number           |    1588768170
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    Entity Type          |    Individual 
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    Provider Name        |    DIANE M FRANKEL MSS
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/12/2006
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    Last Update Date     |    02/09/2013
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Provider Practice Location Address
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    Address Line         |    255 S 17TH ST SUITE 2604
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    City                 |    PHILADELPHIA
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    State                |    PA
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    Zip                  |    19103-6231
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    Country              |    US
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    Telephone            |    215-680-5756
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    275 S 19TH ST #800
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    City                 |    PHILADELPHIA
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    State                |    PA
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    Zip                  |    19103-5769
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    Country              |    US
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    Telephone            |    267-886-8545
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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        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    CW 000757 L
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    License Number State |    PA
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