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General NPI Number Information
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NPI Number | 1326339508
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Entity Type | Organization
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Legal Business Name | SUSAN FRENSLEY PHD & ASSOCIATES INC.
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Dates
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Enumeration Date | 04/22/2011
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Last Update Date | 04/22/2011
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Provider Practice Location Address
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Address Line | 704 N CROCKETT AVE
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City | CAMERON
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State | TX
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Zip | 76520-2551
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Country | US
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Telephone | 830-637-9615
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Fax | 972-852-7992
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Provider Business Mailing Address
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Address Line | PO BOX 955
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City | CAMERON
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State | TX
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Zip | 76520-0955
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Country | US
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Telephone | 830-637-9615
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Fax | 972-852-7992
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SUSAN FRENSLEY
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Credential | PHD
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Telephone | 830-637-9615
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 34188
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License Number State | TX
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