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NPI 1710701768

NPI 1710701768 : FRANKFORD HEALTH ASSOCIATES LLC : FEASTERVILLE TREVOSE, PA

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General NPI Number Information
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    NPI Number           |    1710701768
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    Entity Type          |    Organization 
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    Legal Business Name  |    FRANKFORD HEALTH ASSOCIATES LLC 
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Dates
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    Enumeration Date     |    11/14/2024
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    Last Update Date     |    11/14/2024
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Provider Practice Location Address
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    Address Line         |    1201 BUCK RD STE 203 
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    City                 |    FEASTERVILLE TREVOSE
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    State                |    PA
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    Zip                  |    19053-2381
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    Country              |    US
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    Telephone            |    215-332-4770
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1201 BUCK RD STE 203 
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    City                 |    FEASTERVILLE TREVOSE
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    State                |    PA
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    Zip                  |    19053-2381
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    Country              |    US
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    Telephone            |    215-332-4770
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     MICHAEL  KENNY 
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    Credential           |    DC
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    Telephone            |    215-332-4770
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207QB0002X
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    Taxonomy Name        |    Obesity Medicine (Family Medicine) Physician
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    License Number       |    
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    License Number State |    
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