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General NPI Number Information
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NPI Number | 1861904500
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Entity Type | Individual
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Provider Name | BONNIE JEAN FRANCL PT, DPT, LAT, ATC
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Gender | Female
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Dates
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Enumeration Date | 11/03/2017
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 1200 LEXINGTON GREEN LN
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City | SANFORD
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State | FL
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Zip | 32771-1013
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Country | US
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Telephone | 920-284-4280
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Fax |
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Provider Business Mailing Address
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Address Line | 10219 CARDINAL COVE CIR
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City | SANFORD
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State | FL
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Zip | 32771-6337
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Country | US
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Telephone | 920-284-4280
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | AL2742
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT33177
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License Number State | FL
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