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General NPI Number Information
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NPI Number | 1730899923
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Entity Type | Organization
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Legal Business Name | KANDICE FRICKE, PLLC
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Dates
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Enumeration Date | 11/29/2022
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Last Update Date | 11/29/2022
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Provider Practice Location Address
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Address Line | 3833 S STAPLES ST STE N202
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City | CORPUS CHRISTI
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State | TX
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Zip | 78411-5219
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Country | US
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Telephone | 361-844-8080
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Fax |
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Provider Business Mailing Address
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Address Line | 3833 S STAPLES ST STE N202
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City | CORPUS CHRISTI
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State | TX
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Zip | 78411-5219
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Country | US
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Telephone | 361-844-8080
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Fax |
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Authorized Official
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Title or Position | LPC-S/OWNER
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Name | MS. KANDICE KIMBERLY FRICKE
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Credential | LPC-S
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Telephone | 361-844-8080
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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