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General NPI Number Information
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NPI Number | 1154245512
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Entity Type | Individual
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Provider Name | JOHN WILLIAM DURK FRYE III PHD
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Gender | Male
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Dates
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Enumeration Date | 08/07/2026
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Last Update Date | 08/07/2026
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Provider Practice Location Address
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Address Line | 3901 LONE TREE WAY
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City | ANTIOCH
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State | CA
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Zip | 94509-6200
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Country | US
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Telephone | 415-361-3976
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Fax |
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Provider Business Mailing Address
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Address Line | 2519 CLEMENT AVE
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City | ALAMEDA
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State | CA
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Zip | 94501-1522
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Country | US
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Telephone | 559-240-2428
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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 | 174V00000X
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Taxonomy Name | Clinical Ethicist
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License Number |
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License Number State |
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