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General NPI Number Information
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NPI Number | 1932582178
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Entity Type | Individual
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Provider Name | NATHAN ELIE FRENK MD
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Gender | Male
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Dates
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Enumeration Date | 07/07/2015
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Last Update Date | 10/12/2023
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Provider Practice Location Address
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Address Line | 800 WASHINGTON ST
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City | BOSTON
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State | MA
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Zip | 02111-1552
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Country | US
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Telephone | 617-636-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 455 HARVARD ST APT 305
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City | BROOKLINE
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State | MA
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Zip | 02446-2481
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Country | US
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Telephone | 617-416-3866
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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 | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number | 277166
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License Number State | MA
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