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NPI 1720247265

NPI 1720247265 : FRANK OJO DANIA M.D., M.S : DECATUR, GA

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General NPI Number Information
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    NPI Number           |    1720247265
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    Entity Type          |    Individual 
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    Provider Name        |    FRANK OJO DANIA M.D., M.S
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    06/09/2008
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    Last Update Date     |    07/01/2009
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Provider Practice Location Address
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    Address Line         |    4480 COVINGTON HWY SUITE B
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    City                 |    DECATUR
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    State                |    GA
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    Zip                  |    30035-1218
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    Country              |    US
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    Telephone            |    404-775-1973
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    4720 GALLEON XING 
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    City                 |    DECATUR
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    State                |    GA
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    Zip                  |    30035-3031
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    Country              |    US
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    Telephone            |    770-322-0563
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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        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    C1-0008696
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    License Number State |    DE
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