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General NPI Number Information
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NPI Number | 1427392463
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Entity Type | Individual
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Provider Name | AMY FRAZEE PT
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Gender | Female
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Dates
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Enumeration Date | 11/15/2012
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 6290 JUPITER AVE NE STE C
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City | BELMONT
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State | MI
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Zip | 49306-8885
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Country | US
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Telephone | 616-364-3290
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Fax | 616-364-3299
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Provider Business Mailing Address
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Address Line | 6290 JUPITER AVE NE STE C
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City | BELMONT
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State | MI
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Zip | 49306-8885
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Country | US
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Telephone | 616-634-3290
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Fax | 616-364-3299
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 05011431A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 2305207692
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 5501018140
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License Number State | MI
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