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General NPI Number Information
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NPI Number | 1730634452
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Entity Type | Individual
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Provider Name | JESSICA FRITZGES PH.D.
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Gender | Female
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Dates
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Enumeration Date | 08/23/2016
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Last Update Date | 06/29/2022
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Provider Practice Location Address
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Address Line | 110 S DELAWARE ST
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City | SMYRNA
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State | DE
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Zip | 19977-1447
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Country | US
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Telephone | 302-632-2204
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Fax | 302-202-5399
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Provider Business Mailing Address
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Address Line | 110 S DELAWARE ST
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City | SMYRNA
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State | DE
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Zip | 19977-1447
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Country | US
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Telephone | 302-632-2204
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Fax | 302-202-5399
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | B1-0001166
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License Number State | DE
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