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General NPI Number Information
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NPI Number | 1447480116
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Entity Type | Individual
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Provider Name | KIMBERLY A FRODL MD
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Gender | Female
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Dates
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Enumeration Date | 07/16/2009
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Last Update Date | 08/07/2025
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Provider Practice Location Address
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Address Line | 4005 COMMUNITY CENTER DR
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City | WESTON
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State | WI
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Zip | 54476-4139
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Country | US
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Telephone | 715-241-5400
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Fax |
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Provider Business Mailing Address
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Address Line | 200 1ST ST SW
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City | ROCHESTER
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State | MN
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Zip | 55905-0001
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Country | US
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Telephone | 715-838-5222
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 57409-20
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License Number State | WI
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