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General NPI Number Information
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NPI Number | 1760933279
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Entity Type | Individual
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Provider Name | ALISA MARIE FRANKFURTER M.S.
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Gender | Female
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Dates
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Enumeration Date | 10/19/2016
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Last Update Date | 10/19/2016
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Provider Practice Location Address
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Address Line | 125 BALDWIN PLACE ROAD
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City | MAHOPAC
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State | NY
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Zip | 10541
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Country | US
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Telephone | 845-628-2280
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Fax |
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Provider Business Mailing Address
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Address Line | 23 WALNUT DRIVE
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City | MAHOPAC
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State | NY
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Zip | 10541
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Country | US
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Telephone | 845-803-5741
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 366740585
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License Number State | NY
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