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General NPI Number Information
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NPI Number | 1407729700
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Entity Type | Individual
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Provider Name | MICHELLE MARIE FROC
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Gender | Female
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Dates
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Enumeration Date | 09/24/2025
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Last Update Date | 09/24/2025
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Provider Practice Location Address
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Address Line | 103 GARLAND ST
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City | EVERETT
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State | MA
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Zip | 02149-5066
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Country | US
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Telephone | 617-389-6270
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Fax |
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Provider Business Mailing Address
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Address Line | 19 CHURCH HILL ST
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City | WATERTOWN
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State | MA
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Zip | 02472-2301
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Country | US
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Telephone | 978-729-7467
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN2351369
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License Number State | MA
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