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General NPI Number Information
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NPI Number | 1508961152
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Entity Type | Individual
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Provider Name | NANCY FROST-MEYER MS, RDN, CDCES, CD
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Gender | Female
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Dates
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Enumeration Date | 09/14/2006
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Last Update Date | 08/31/2021
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Provider Practice Location Address
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Address Line | 500 E VETERANS ST
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City | TOMAH
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State | WI
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Zip | 54660-3105
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Country | US
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Telephone | 800-872-8662
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Fax |
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Provider Business Mailing Address
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Address Line | 2260 PINE RD
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City | RUDOLPH
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State | WI
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Zip | 54475-9521
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Country | US
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Telephone | 715-424-3800
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 871650
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License Number State | WI
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