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General NPI Number Information
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NPI Number | 1477219137
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Entity Type | Individual
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Provider Name | RACHEL AMANDA FRY PA-C
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Gender | Female
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Dates
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Enumeration Date | 11/16/2021
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Last Update Date | 09/12/2025
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Provider Practice Location Address
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Address Line | 1394 W 16TH ST
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City | YUMA
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State | AZ
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Zip | 85364-4430
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Country | US
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Telephone | 928-539-0055
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Fax | 928-539-0053
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Provider Business Mailing Address
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Address Line | PO BOX 14417
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City | SAVANNAH
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State | GA
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Zip | 31416-1417
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Country | US
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Telephone | 912-721-5167
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Fax | 912-721-7886
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 11021
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License Number State | AZ
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