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NPI 1710298617

NPI 1710298617 : WD FRANKS JR., MD PLASTIC SURGERY INC : DES MOINES, IA

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General NPI Number Information
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    NPI Number           |    1710298617
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    Entity Type          |    Organization 
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    Legal Business Name  |    WD FRANKS JR., MD PLASTIC SURGERY INC 
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Dates
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    Enumeration Date     |    06/24/2010
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    Last Update Date     |    07/01/2013
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Provider Practice Location Address
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    Address Line         |    2600 GRAND AVE SUITE 125
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    City                 |    DES MOINES
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    State                |    IA
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    Zip                  |    50312-5375
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    Country              |    US
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    Telephone            |    515-421-4299
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    Fax                  |    515-288-2542
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Provider Business Mailing Address
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    Address Line         |    2600 GRAND AVE SUITE 125
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    City                 |    DES MOINES
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    State                |    IA
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    Zip                  |    50312-5375
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    Country              |    US
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    Telephone            |    515-421-4299
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    Fax                  |    515-288-2542
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Authorized Official
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    Title or Position    |    DIRECTOR
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    Name                 |    DR. WILLIAM DALE FRANKS JR.
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    Credential           |    MD
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    Telephone            |    515-249-8448
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    208200000X
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    Taxonomy Name        |    Plastic Surgery Physician
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    License Number       |    35038
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    License Number State |    IA
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