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General NPI Number Information
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NPI Number | 1760663512
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Entity Type | Organization
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Legal Business Name | TERRENCE R FRANK DO PC
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Dates
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Enumeration Date | 11/21/2007
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Last Update Date | 12/01/2009
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Provider Practice Location Address
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Address Line | 2815 S PENNSYLVANIA AVE SUITE 103
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City | LANSING
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State | MI
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Zip | 48910-3496
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Country | US
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Telephone | 517-487-3664
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Fax |
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Provider Business Mailing Address
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Address Line | 2815 S PENNSYLVANIA AVE SUITE 103
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City | LANSING
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State | MI
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Zip | 48910-3496
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Country | US
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Telephone | 517-487-3655
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Fax | 517-487-3664
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Authorized Official
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Title or Position | PRESIDENT
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Name | TERRENCE R FRANK
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Credential | DO
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Telephone | 517-487-3655
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number | TF005949
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License Number State | MI
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