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Carl Thomas Frank
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NPI Number Detailed Information
Provider Information:
| Name: | Carl Thomas Frank |
| Gender: | M |
| Provider License Number If Given: | 11319 |
NPI Information:
| NPI: | 1669471173 |
| Entity Type (Individual or Organization): |
1-ind |
| Enumeration Date: | 7/18/2005 |
| Last Update Date: | 7/8/2007 |
Provider Business Mailing Address:
| Address: | 16909 LAKESIDE HILLS CT LAKESIDE PROF CRT N STE 200 Omaha, NE 68130 |
| Phone Number: | 4025715323 |
| Fax Number: | 4025712495 |
Provider Business Practice Location Address:
| Address: | 16909 LAKESIDE HILLS CT LAKESIDE PROF CRT N STE 200 Omaha, NE 68130 |
| Phone Number: | 4025715323 |
| Fax Number: | 4025712495 |
Provider Taxonomy:
| Primary: | 174400000X |
| Secondary (if any): | 174400000X |
| State: | NE |
