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General NPI Number Information
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NPI Number | 1811486608
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Entity Type | Organization
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Legal Business Name | DENICE H FRANCO DO PLLC
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Dates
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Enumeration Date | 05/07/2018
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Last Update Date | 05/17/2022
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Provider Practice Location Address
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Address Line | 631 LAKE AVE STE A
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City | SAINT JAMES
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State | NY
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Zip | 11780-1964
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Country | US
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Telephone | 631-332-6923
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Fax | 631-573-4820
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Provider Business Mailing Address
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Address Line | 631 LAKE AVE STE A
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City | SAINT JAMES
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State | NY
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Zip | 11780-1964
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Country | US
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Telephone | 631-332-6923
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Fax | 631-573-4820
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. DENICE FRANCO
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Credential | DO
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Telephone | 631-332-6923
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | A276630-1
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License Number State | NY
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