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General NPI Number Information
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NPI Number | 1346827151
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Entity Type | Individual
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Provider Name | CHRISTINA M. FRUGOLI FNP-C
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Gender | Female
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Dates
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Enumeration Date | 03/26/2021
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Last Update Date | 10/24/2023
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Provider Practice Location Address
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Address Line | 30 S MICHIGAN AVE STE 500
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City | CHICAGO
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State | IL
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Zip | 60603-3205
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Country | US
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Telephone | 312-977-1188
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Fax | 312-977-1185
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Provider Business Mailing Address
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Address Line | 30 S MICHIGAN AVE STE 500
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City | CHICAGO
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State | IL
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Zip | 60603-3205
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Country | US
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Telephone | 312-977-1188
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Fax | 312-977-1188
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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 | F03211291
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License Number State | IL
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