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General NPI Number Information
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NPI Number | 1902468796
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Entity Type | Individual
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Provider Name | FRANK BERNARD EBAI
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Gender | Male
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Dates
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Enumeration Date | 07/02/2019
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Last Update Date | 08/11/2022
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Provider Practice Location Address
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Address Line | 3400 I 30 STE 230
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City | MESQUITE
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State | TX
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Zip | 75150-2601
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Country | US
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Telephone | 214-432-7273
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Fax | 214-432-7278
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Provider Business Mailing Address
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Address Line | 3400 I 30 STE 230
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City | MESQUITE
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State | TX
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Zip | 75150-2601
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Country | US
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Telephone | 214-432-7273
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Fax | 214-432-7278
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | T8807
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MT219432
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License Number State | PA
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