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General NPI Number Information
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NPI Number | 1033467360
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Entity Type | Organization
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Legal Business Name | FROG SOLUTIONS, INC.
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Dates
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Enumeration Date | 08/16/2012
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Last Update Date | 08/16/2012
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Provider Practice Location Address
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Address Line | 2323 CURLEW RD SUITE 7-A
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City | DUNEDIN
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State | FL
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Zip | 34698-9330
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Country | US
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Telephone | 727-789-5771
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Fax | 727-535-6196
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Provider Business Mailing Address
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Address Line | 1533 WINDING WAY E
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City | CLEARWATER
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State | FL
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Zip | 33764-2556
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Country | US
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Telephone | 727-532-0051
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. DONA J FOSTER
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Credential |
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Telephone | 727-532-0051
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State | FL
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