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General NPI Number Information
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NPI Number | 1912461104
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Entity Type | Individual
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Provider Name | DEVON ELIZABETH FRANK
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Gender | Female
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Dates
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Enumeration Date | 01/22/2019
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Last Update Date | 01/22/2019
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Provider Practice Location Address
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Address Line | 635 S MAIN ST STE B
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City | LEITCHFIELD
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State | KY
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Zip | 42754-1056
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Country | US
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Telephone | 270-287-0656
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Fax |
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Provider Business Mailing Address
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Address Line | 112 PROBUS RD
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City | LEITCHFIELD
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State | KY
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Zip | 42754-7633
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Country | US
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Telephone | 270-230-5500
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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 | 222Q00000X
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Taxonomy Name | Developmental Therapist
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License Number | 201192556
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License Number State | KY
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