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General NPI Number Information
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NPI Number | 1730316043
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Entity Type | Individual
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Provider Name | DEVN A FRANDSEN DO
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Gender | Male
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Dates
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Enumeration Date | 06/12/2009
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Last Update Date | 05/29/2025
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Provider Practice Location Address
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Address Line | 722 W NORTH ST
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City | GRANGEVILLE
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State | ID
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Zip | 83530-1350
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Country | US
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Telephone | 208-983-8590
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Fax | 208-983-8580
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Provider Business Mailing Address
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Address Line | 250 ARDEN DR
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City | IDAHO FALLS
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State | ID
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Zip | 83404-7904
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Country | US
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Telephone | 435-770-2888
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Fax | 845-698-8293
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 66769-21
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | OS017304
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 036 131300
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License Number State | IL
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Taxonomy #4
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | E-7208
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License Number State | AR
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Taxonomy #5
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 66769
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License Number State | WI
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Taxonomy #6
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Taxonomy Code | 2083P0011X
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Taxonomy Name | Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
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License Number | 100581
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License Number State | MT
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Taxonomy #7
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Taxonomy Code | 2083P0011X
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Taxonomy Name | Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
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License Number | O-0842
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License Number State | ID
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Taxonomy #8
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | O-0842
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License Number State | ID
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Taxonomy #9
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 100581
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License Number State | MT
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