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General NPI Number Information
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NPI Number | 1598129744
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Entity Type | Individual
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Provider Name | ITHIEL JAMES FRAME M.D., PH.D.
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Gender | Male
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Dates
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Enumeration Date | 04/13/2016
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Last Update Date | 02/23/2024
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Provider Practice Location Address
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Address Line | 2501 S STATE HWY 121 STE 1100
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City | LEWISVILLE
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State | TX
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Zip | 75067-0001
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Country | US
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Telephone | 972-966-7000
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Fax |
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Provider Business Mailing Address
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Address Line | 2501 STATE HIGHWAY 121 SUITE 1100
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City | LEWISVILLE
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State | TX
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Zip | 75067-8188
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Country | US
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Telephone |
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207ZC0006X
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Taxonomy Name | Clinical Pathology Physician
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License Number | S0286
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License Number State | TX
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