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General NPI Number Information
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NPI Number | 1851542815
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Entity Type | Individual
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Provider Name | ANGELICA FRANK D.D.S.
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Gender | Female
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Dates
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Enumeration Date | 10/08/2008
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Last Update Date | 02/10/2015
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Provider Practice Location Address
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Address Line | 2000 E HIGHWAY 114
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City | SOUTHLAKE
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State | TX
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Zip | 76092-6514
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Country | US
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Telephone | 817-421-1444
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Fax | 817-421-1411
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Provider Business Mailing Address
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Address Line | 2000 E HIGHWAY 114
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City | SOUTHLAKE
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State | TX
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Zip | 76092-6514
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Country | US
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Telephone | 817-421-1444
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Fax | 817-421-1411
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 23900
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License Number State | TX
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