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General NPI Number Information
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NPI Number | 1225303274
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Entity Type | Individual
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Provider Name | MEGAN ELIZABETH FRERICKS HAS
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Gender | Female
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Dates
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Enumeration Date | 03/08/2012
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Last Update Date | 10/30/2018
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Provider Practice Location Address
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Address Line | 13350 REFLECTIONS PARKWAY SUITE 4-402
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City | FORT MEYERS
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State | FL
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Zip | 33907-6539
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Country | US
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Telephone | 239-936-1110
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Fax | 239-437-9589
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Provider Business Mailing Address
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Address Line | 851 BROKEN SOUND PARKWAY NW SUITE 120
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City | BOCA RATON
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State | FL
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Zip | 33487-3638
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Country | US
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Telephone | 561-367-1623
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Fax | 561-299-5438
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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 | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | AS4855
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License Number State | FL
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