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General NPI Number Information
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NPI Number | 1912187303
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Entity Type | Organization
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Legal Business Name | ANDREA J FRANK D O P C
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Dates
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Enumeration Date | 11/14/2007
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Last Update Date | 05/26/2010
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Provider Practice Location Address
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Address Line | 66 S 21ST ST
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City | KENILWORTH
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State | NJ
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Zip | 07033-1626
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Country | US
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Telephone | 908-276-4447
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Fax |
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Provider Business Mailing Address
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Address Line | 66 S 21ST ST
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City | KENILWORTH
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State | NJ
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Zip | 07033-1626
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Country | US
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Telephone | 908-276-4447
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. ANDREA J FRANK
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Credential | DO
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Telephone | 908-276-4447
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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 | MB50885
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License Number State | NJ
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