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General NPI Number Information
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NPI Number | 1598040586
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Entity Type | Organization
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Legal Business Name | FRANK FAMILY MEDICAL CENTER LLC
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Dates
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Enumeration Date | 10/21/2011
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Last Update Date | 03/21/2012
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Provider Practice Location Address
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Address Line | 4550 STATE ROUTE 229
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City | MARENGO
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State | OH
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Zip | 43334-9687
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Country | US
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Telephone | 419-253-3003
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Fax | 419-253-2153
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Provider Business Mailing Address
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Address Line | 4550 STATE ROUTE 229
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City | MARENGO
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State | OH
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Zip | 43334-9687
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Country | US
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Telephone | 419-253-3003
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Fax | 419-253-2153
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | DR. JESSE JAY FRANK
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Credential | D.O.
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Telephone | 419-253-3003
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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