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General NPI Number Information
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NPI Number | 1629988308
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Entity Type | Individual
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Provider Name | ELLE MAE FRISLIE RN
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Gender | Female
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Dates
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Enumeration Date | 09/08/2026
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Last Update Date | 09/08/2026
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Provider Practice Location Address
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Address Line | 715 DELMORE DR
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City | ROSEAU
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State | MN
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Zip | 56751-1599
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Country | US
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Telephone | 218-463-2500
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Fax |
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Provider Business Mailing Address
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Address Line | 23703 COUNTY ROAD 103
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City | GREENBUSH
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State | MN
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Zip | 56726-9373
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Country | US
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Telephone | 218-689-8867
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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 | 163WM0705X
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Taxonomy Name | Medical-Surgical Registered Nurse
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License Number | 2527214
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License Number State | MN
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