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General NPI Number Information
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NPI Number | 1679429286
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Entity Type | Individual
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Provider Name | KIMBERLY LYNN FRICKE
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Gender | Female
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Dates
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Enumeration Date | 03/06/2026
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Last Update Date | 03/06/2026
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Provider Practice Location Address
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Address Line | LAC DU FLAMBEAU PUBLIC SCHOOL 2899 HWY 47
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City | LAC DU FLAMBEAU
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State | WI
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Zip | 54538
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Country | US
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Telephone | 715-588-3838
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Fax |
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Provider Business Mailing Address
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Address Line | 8036 NARROWS RD
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City | MINOCQUA
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State | WI
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Zip | 54548-9280
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Country | US
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Telephone | 715-892-1586
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 1590-154
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License Number State | WI
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