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General NPI Number Information
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NPI Number | 1710368923
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Entity Type | Individual
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Provider Name | GIANFRANCO ALBERTO FROJO JR. M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/12/2015
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Last Update Date | 07/29/2022
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Provider Practice Location Address
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Address Line | 1037 CHAMPIONS WAY STE 600
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City | SUFFOLK
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State | VA
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Zip | 23435-3767
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Country | US
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Telephone | 757-997-7877
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Fax | 833-673-0445
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Provider Business Mailing Address
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Address Line | 1037 CHAMPIONS WAY STE 600
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City | SUFFOLK
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State | VA
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Zip | 23435-3767
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Country | US
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Telephone | 579-977-8777
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Fax | 833-673-0445
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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 | 2086S0122X
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Taxonomy Name | Plastic and Reconstructive Surgery Physician
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License Number | S9504
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License Number State | TX
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