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NPI Code Detail

MEDICARE: DEBORA FROST

MEDICARE: DEBORA FROST
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number : 1447380175
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEBORA FROST
Provider Business Mailing Address
First Line : 119 S HAYS ST
Second Line :
City : BEL AIR
State : MD
Zip : 21014-3644
Country : US
Telephone Number : 410-638-8422
Fax Number :
Provider Business Practice Location Address
First Line : 119 S HAYS ST
Second Line :
City : BEL AIR
State : MD
Zip : 21014-3644
Country : US
Telephone Number : 410-638-8422
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/06/2007
Last Update Date : 07/08/2007

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Directions to “ DEBORA FROST ” Practice Location

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