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General NPI Number Information
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NPI Number | 1013824879
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Entity Type | Individual
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Provider Name | ANNALIESE MARIE FROESE
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Gender | Female
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Dates
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Enumeration Date | 08/26/2026
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Last Update Date | 08/26/2026
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Provider Practice Location Address
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Address Line | 355 NEW GILMAN BLVD SUIT 105
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City | ISSAQUAH
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State | WA
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Zip | 98027
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Country | US
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Telephone | 425-313-0433
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Fax |
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Provider Business Mailing Address
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Address Line | 425 VINE ST APT 420
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City | SEATTLE
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State | WA
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Zip | 98121-1591
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Country | US
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Telephone | 231-715-6315
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CHIR.CH.70156211
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License Number State | WA
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