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General NPI Number Information
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NPI Number | 1679535884
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Entity Type | Individual
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Provider Name | CAROLYN KAY FRIGON MSN FNP
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Gender | Female
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Dates
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Enumeration Date | 04/04/2006
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Last Update Date | 01/11/2016
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Provider Practice Location Address
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Address Line | 2141 HIGH ST
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City | SELMA
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State | CA
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Zip | 93662-3065
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Country | US
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Telephone | 559-856-6110
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Fax | 559-856-6108
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Provider Business Mailing Address
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Address Line | 2141 HIGH STREET
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City | SELMA
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State | CA
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Zip | 93662
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Country | US
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Telephone | 559-856-6110
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Fax | 559-856-6108
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 12482
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 541793
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License Number State | CA
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