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NPI 1235065509

NPI 1235065509 : REBEKAH FROHLICH : PHOENIX, AZ

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General NPI Number Information
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    NPI Number           |    1235065509
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    Entity Type          |    Individual 
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    Provider Name        |    REBEKAH FROHLICH
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/23/2026
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    Last Update Date     |    06/23/2026
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Provider Practice Location Address
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    Address Line         |    1831 W ROSE GARDEN LN STE 4 
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    City                 |    PHOENIX
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    State                |    AZ
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    Zip                  |    85027-2725
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    Country              |    US
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    Telephone            |    602-808-9912
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    17222 N CENTRAL AVE APT 158 
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    City                 |    PHOENIX
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    State                |    AZ
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    Zip                  |    85022-2337
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    Country              |    US
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    Telephone            |    701-989-1613
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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        |    106S00000X
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    Taxonomy Name        |    Behavior Technician
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    License Number       |    
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    License Number State |    AZ
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