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General NPI Number Information
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NPI Number | 1932284437
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Entity Type | Individual
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Provider Name | LARRY DON FRANKLIN PA-C
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Gender | Male
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Dates
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Enumeration Date | 10/25/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1201 E 9TH ST
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City | BONHAM
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State | TX
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Zip | 75418-4059
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Country | US
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Telephone | 903-583-2111
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Fax | 903-583-6471
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Provider Business Mailing Address
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Address Line | 15924E FM1396
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City | WINDOM
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State | TX
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Zip | 75492
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Country | US
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Telephone | 903-583-2111
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Fax | 903-583-6471
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 1004221
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License Number State | GA
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