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NPI 1770574022

NPI 1770574022 : EARL A FRANTZ D.O. : MOREHEAD CITY, NC

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General NPI Number Information
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    NPI Number           |    1770574022
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    Entity Type          |    Individual 
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    Provider Name        |    EARL A FRANTZ D.O.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    11/03/2005
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    Last Update Date     |    12/12/2023
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Provider Practice Location Address
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    Address Line         |    3714 GUARDIAN AVE STE E 
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    City                 |    MOREHEAD CITY
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    State                |    NC
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    Zip                  |    28557-2975
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    Country              |    US
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    Telephone            |    252-247-2101
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 5105 
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    City                 |    BELFAST
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    State                |    ME
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    Zip                  |    04915-5100
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    Country              |    US
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    Telephone            |    910-332-3800
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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       |    2013-01946
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    License Number State |    NC
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Taxonomy #2
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    Taxonomy Code        |    207QS0010X
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    Taxonomy Name        |    Sports Medicine (Family Medicine) Physician
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    License Number       |    2013-01946
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    License Number State |    NC
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