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General NPI Number Information
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NPI Number | 1942466446
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Entity Type | Individual
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Provider Name | PHILIPPA GRACE FRANK-THOMAS LCSW
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Gender | Female
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Dates
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Enumeration Date | 08/04/2008
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Last Update Date | 01/22/2020
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Provider Practice Location Address
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Address Line | 208 S 6TH ST
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City | FLAGLER BEACH
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State | FL
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Zip | 32136-3691
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Country | US
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Telephone | 386-387-1897
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Fax |
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Provider Business Mailing Address
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Address Line | 13 OCEAN PALM VILLA N
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City | FLAGLER BEACH
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State | FL
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Zip | 32136-4112
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Country | US
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Telephone | 585-739-5582
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SW8912
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License Number State | FL
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