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General NPI Number Information
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NPI Number | 1679765804
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Entity Type | Individual
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Provider Name | JOSEPH LAWRENCE FRENKEL M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/12/2007
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Last Update Date | 06/20/2016
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Provider Practice Location Address
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Address Line | 5818 HARBOUR VIEW BLVD SUITE B-2
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City | SUFFOLK
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State | VA
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Zip | 23435-3315
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Country | US
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Telephone | 757-483-3030
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Fax | 757-484-7239
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Provider Business Mailing Address
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Address Line | 7007 HARBOUR VIEW BLVD SUITE 108
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City | SUFFOLK
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State | VA
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Zip | 23435-3657
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Country | US
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Telephone | 757-215-2784
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Fax | 757-215-2728
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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 | 208C00000X
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Taxonomy Name | Colon & Rectal Surgery Physician
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License Number | 0101257817
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License Number State | VA
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