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General NPI Number Information
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NPI Number | 1164026340
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Entity Type | Individual
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Provider Name | DAVID CHARLES FROELICH
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Gender | Male
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Dates
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Enumeration Date | 11/28/2020
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Last Update Date | 11/28/2020
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Provider Practice Location Address
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Address Line | 294 37TH AVE N
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City | ST PETERSBURG
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State | FL
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Zip | 33704-1416
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Country | US
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Telephone | 727-896-3166
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Fax |
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Provider Business Mailing Address
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Address Line | 151 7TH ST S UNIT 550
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City | SAINT PETERSBURG
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State | FL
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Zip | 33701-4075
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Country | US
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Telephone | 267-414-3676
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RP453033
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PS60170
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License Number State | FL
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