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General NPI Number Information
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NPI Number | 1578622833
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Entity Type | Individual
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Provider Name | STEPHANIE A FROSLIE LMFT
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Gender | Female
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Dates
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Enumeration Date | 12/06/2006
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Last Update Date | 03/03/2010
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Provider Practice Location Address
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Address Line | 810 4TH AVE S SUITE 272
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City | MOORHEAD
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State | MN
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Zip | 56560
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Country | US
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Telephone | 701-212-3683
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Fax | 218-233-4343
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Provider Business Mailing Address
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Address Line | 469 CLEARVIEW COURT
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City | MOORHEAD
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State | MN
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Zip | 56560-6801
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Country | US
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Telephone | 701-212-3683
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Fax | 218-233-3232
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 900
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License Number State | MN
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