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General NPI Number Information
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NPI Number | 1265038848
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Entity Type | Individual
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Provider Name | JASON FROESCHLE
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Gender | Male
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Dates
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Enumeration Date | 12/08/2020
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Last Update Date | 11/19/2025
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Provider Practice Location Address
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Address Line | 146 PASSION PLAY RD
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City | EUREKA SPRINGS
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State | AR
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Zip | 72632-9495
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Country | US
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Telephone | 479-253-9746
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Fax |
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Provider Business Mailing Address
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Address Line | 14 HILLCREST DR
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City | HOLIDAY ISLAND
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State | AR
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Zip | 72631-5211
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Country | US
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Telephone | 417-699-5111
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 213433
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License Number State | AR
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