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General NPI Number Information
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NPI Number | 1033794193
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Entity Type | Individual
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Provider Name | LORRIE L FROST
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Gender | Female
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Dates
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Enumeration Date | 03/10/2021
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Last Update Date | 03/10/2021
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Provider Practice Location Address
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Address Line | 3928 ILLINOIS ST
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City | SAN DIEGO
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State | CA
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Zip | 92104-3058
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Country | US
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Telephone | 619-763-1140
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Fax |
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Provider Business Mailing Address
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Address Line | 9855 LA TORTOLA PL
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City | SAN DIEGO
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State | CA
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Zip | 92129-3074
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Country | US
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Telephone | 619-743-0887
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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