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General NPI Number Information
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NPI Number | 1932403276
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Entity Type | Organization
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Legal Business Name | FRANKS
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Dates
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Enumeration Date | 12/30/2010
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Last Update Date | 12/30/2010
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Provider Practice Location Address
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Address Line | 402 S.W. MASS. AVE
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City | LANGSTON
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State | OK
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Zip | 73050-0495
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Country | US
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Telephone | 405-474-1571
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 495
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City | LANGSTON
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State | OK
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Zip | 73050-0495
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MS. AKESHA L FRANKS
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Credential |
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Telephone | 405-474-1571
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3245S0500X
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Taxonomy Name | Children's Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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