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General NPI Number Information
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NPI Number | 1679981450
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Entity Type | Individual
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Provider Name | MANDI FRANKLIN CPNP
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Gender | Female
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Dates
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Enumeration Date | 07/24/2014
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Last Update Date | 09/26/2019
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Provider Practice Location Address
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Address Line | 9868 FL-7 #305
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City | BOYNTON BEACH
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State | FL
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Zip | 33472
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Country | US
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Telephone | 561-369-0111
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Fax |
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Provider Business Mailing Address
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Address Line | 9868 S. SR 7 SUITE 305
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City | BOYNTON BEACH
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State | FL
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Zip | 33472
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Country | US
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Telephone | 561-369-0111
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | R189580
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License Number State | MD
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