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General NPI Number Information
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NPI Number | 1417741521
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Entity Type | Individual
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Provider Name | MARIA CELESTE FRAZEE FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 04/07/2025
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Last Update Date | 07/31/2025
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Provider Practice Location Address
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Address Line | 1732 W M 32 UNIT B
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City | GAYLORD
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State | MI
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Zip | 49735-8177
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Country | US
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Telephone | 989-214-8005
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Fax |
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Provider Business Mailing Address
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Address Line | 424 N COURT AVE
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City | GAYLORD
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State | MI
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Zip | 49735-1512
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Country | US
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Telephone | 785-341-4703
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 4704359231
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License Number State | MI
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