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General NPI Number Information
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NPI Number | 1487029328
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Entity Type | Individual
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Provider Name | ALICIA FRITH NP-C
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Gender | Female
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Dates
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Enumeration Date | 12/03/2015
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Last Update Date | 04/29/2022
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Provider Practice Location Address
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Address Line | 2300 W MICHIGAN AVE STE 9
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City | MIDLAND
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State | TX
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Zip | 79701-5843
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Country | US
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Telephone | 432-704-1058
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Fax | 432-695-6951
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Provider Business Mailing Address
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Address Line | 3415 CALDERA BLVD
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City | MIDLAND
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State | TX
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Zip | 79707-2825
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Country | US
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Telephone | 432-704-5455
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Fax | 432-695-6951
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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 | AP129215
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License Number State | TX
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