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General NPI Number Information
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NPI Number | 1710174248
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Entity Type | Individual
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Provider Name | BRITTANY N FRISELLA APN
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Gender | Female
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Dates
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Enumeration Date | 09/28/2007
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Last Update Date | 10/27/2023
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Provider Practice Location Address
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Address Line | 4519 HIGHCREST RD
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City | ROCKFORD
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State | IL
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Zip | 61107-2225
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Country | US
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Telephone | 815-985-3090
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Fax |
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Provider Business Mailing Address
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Address Line | 528 CASTLE WYND DR
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City | LOVES PARK
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State | IL
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Zip | 61111-8967
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Country | US
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Telephone | 815-985-3090
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 277000601
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License Number State | IL
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