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General NPI Number Information
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NPI Number | 1356556831
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Entity Type | Individual
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Provider Name | MARGARET RUTH FRYE L.P.T.A.
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Gender | Female
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Dates
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Enumeration Date | 05/10/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1919 CASTLEMAN RD
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City | BERRYVILLE
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State | VA
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Zip | 22611-2742
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Country | US
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Telephone | 540-955-4080
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Fax |
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Provider Business Mailing Address
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Address Line | 109 STONEWALL DR
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City | WINCHESTER
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State | VA
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Zip | 22602-2277
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Country | US
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Telephone | 540-542-0586
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Fax | 540-542-0534
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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 | 171W00000X
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Taxonomy Name | Contractor
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License Number | 2306000496
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License Number State | VA
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