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General NPI Number Information
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NPI Number | 1639694060
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Entity Type | Individual
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Provider Name | MARIETTA MERIT FRAZEE APRN, AGACNP-BC
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Gender | Female
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Dates
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Enumeration Date | 08/07/2017
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Last Update Date | 12/04/2025
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Provider Practice Location Address
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Address Line | 8194 WALNUT HILL LN
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City | DALLAS
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State | TX
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Zip | 75231-4316
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Country | US
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Telephone | 214-346-5368
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Fax |
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Provider Business Mailing Address
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Address Line | 4545 MISSION AVE APT 1035
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City | FRISCO
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State | TX
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Zip | 75034-0284
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Country | US
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Telephone | 214-244-0445
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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 | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | AP134255
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 65596
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License Number State | NM
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Taxonomy #3
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | AP134255
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | AP134255
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License Number State | TX
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