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General NPI Number Information
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NPI Number | 1861042947
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Entity Type | Individual
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Provider Name | MRS. JENNIFER ROSE FRANKOWICZ
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Gender | Female
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Dates
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Enumeration Date | 09/19/2019
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Last Update Date | 09/19/2019
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Provider Practice Location Address
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Address Line | 777 FALCON RIDGE WAY
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City | BOLINGBROOK
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State | IL
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Zip | 60440-2200
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Country | US
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Telephone | 630-972-9240
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Fax | 630-739-8521
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Provider Business Mailing Address
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Address Line | 11117 HERITAGE DR APT 3C
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City | PALOS HILLS
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State | IL
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Zip | 60465-3126
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Country | US
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Telephone | 708-341-0819
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Fax | 630-739-8521
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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 | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | 2008675
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License Number State | IL
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