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General NPI Number Information
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NPI Number | 1811290190
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Entity Type | Organization
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Legal Business Name | J FRANK AVEY PA
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Dates
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Enumeration Date | 12/08/2010
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Last Update Date | 10/27/2014
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Provider Practice Location Address
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Address Line | 260 BETH STACEY BLVD SUITE 130
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City | LEHIGH ACRES
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State | FL
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Zip | 33936
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Country | US
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Telephone | 239-368-2839
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Fax | 239-368-5011
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Provider Business Mailing Address
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Address Line | 260 BETH STACEY BLVD SUITE 130
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City | LEHIGH ACRES
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State | FL
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Zip | 33936
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Country | US
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Telephone | 239-368-2839
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Fax | 239-368-5011
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | DR. J. FRANK AVEY
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Credential | M.D.
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Telephone | 239-368-2839
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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 | 66976
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME66976
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License Number State | FL
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