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General NPI Number Information
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NPI Number | 1275349300
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Entity Type | Individual
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Provider Name | JONI CORA LYNN FROLEK
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Gender | Female
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Dates
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Enumeration Date | 12/04/2024
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Last Update Date | 12/04/2024
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Provider Practice Location Address
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Address Line | 2400 ST FRANCIS DR
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City | BRECKENRIDGE
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State | MN
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Zip | 56520-1025
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Country | US
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Telephone | 218-643-0418
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Fax |
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Provider Business Mailing Address
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Address Line | 1341 SPRUCE DR
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City | WAHPETON
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State | ND
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Zip | 58075-3142
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Country | US
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Telephone | 701-388-7953
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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 | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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