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General NPI Number Information
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NPI Number | 1457652661
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Entity Type | Individual
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Provider Name | JULIE JOANNA FRANDEN DNP, NP-C
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Gender | Female
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Dates
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Enumeration Date | 11/04/2010
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Last Update Date | 01/20/2020
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Provider Practice Location Address
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Address Line | 4740 N PENNGROVE WAY STE 100
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City | MERIDIAN
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State | ID
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Zip | 83646
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Country | US
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Telephone | 208-938-3663
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Fax | 208-938-3664
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Provider Business Mailing Address
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Address Line | 4740 N PENNGROVE WAY STE 100
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City | MERIDIAN
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State | ID
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Zip | 83646-7446
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Country | US
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Telephone | 208-938-3663
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Fax | 208-938-3664
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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 | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | NP-1018A
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License Number State | ID
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