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General NPI Number Information
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NPI Number | 1124017736
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Entity Type | Individual
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Provider Name | TERRI LYN FROCK EDD MSN ARNP-BC
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Gender | Female
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Dates
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Enumeration Date | 10/17/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 550 SW 3RD ST SUITE 305
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City | POMPANO BEACH
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State | FL
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Zip | 33060-6934
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Country | US
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Telephone | 954-941-3333
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Fax | 954-941-2054
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Provider Business Mailing Address
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Address Line | 2210 NE 40TH CT
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City | LIGHTHOUSE POINT
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State | FL
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Zip | 33064-7328
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Country | US
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Telephone | 954-941-8151
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | ARNP832332
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License Number State | FL
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