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General NPI Number Information
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NPI Number | 1700227105
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Entity Type | Individual
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Provider Name | DAVID CHARLES FRANTZ
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Gender | Male
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Dates
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Enumeration Date | 07/13/2013
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Last Update Date | 07/13/2013
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Provider Practice Location Address
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Address Line | 13250 RIDGE RD APT 4A1
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City | LARGO
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State | FL
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Zip | 33778-1856
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Country | US
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Telephone | 941-565-7666
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Fax |
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Provider Business Mailing Address
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Address Line | 13250 RIDGE RD APT. 4A1
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City | LARGO
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State | FL
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Zip | 33778-1856
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Country | US
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Telephone | 941-565-7666
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PSI28823
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License Number State | FL
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