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General NPI Number Information
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NPI Number | 1740122472
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Entity Type | Individual
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Provider Name | AIMEE FRENETTE
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Gender | Female
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Dates
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Enumeration Date | 04/09/2026
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Last Update Date | 04/09/2026
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Provider Practice Location Address
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Address Line | 1118 W AZTEC BLVD
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City | AZTEC
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State | NM
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Zip | 87410-1818
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Country | US
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Telephone | 505-334-6102
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1273
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City | TUPPER LAKE
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State | NY
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Zip | 12986-0273
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Country | US
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Telephone |
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Fax | 505-334-9861
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 440991
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License Number State | NM
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