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General NPI Number Information
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NPI Number | 1942421839
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Entity Type | Organization
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Legal Business Name | DR KENNETH FRANK
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Dates
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Enumeration Date | 05/01/2007
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Last Update Date | 03/22/2010
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Provider Practice Location Address
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Address Line | 111 MULBERRY ST SUITE 1R
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City | NEWARK
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State | NJ
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Zip | 07102-4008
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Country | US
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Telephone | 908-810-9390
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Fax |
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Provider Business Mailing Address
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Address Line | 2702 ANDREA RD
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City | UNION
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State | NJ
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Zip | 07083-6428
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Country | US
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Telephone | 908-810-9390
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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. KENNETH FRANK
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Credential | DPM
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Telephone | 908-810-9390
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 25MD00141600
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License Number State | NJ
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