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General NPI Number Information
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NPI Number | 1750525770
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Entity Type | Individual
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Provider Name | NANCY REBECCA FRYE LCSW
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Gender | Female
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Dates
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Enumeration Date | 04/21/2009
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Last Update Date | 12/18/2019
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Provider Practice Location Address
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Address Line | 19468 NW 230TH ST
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City | HIGH SPRINGS
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State | FL
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Zip | 32643-4160
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Country | US
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Telephone | 352-318-8193
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Fax |
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Provider Business Mailing Address
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Address Line | 2830 NW 41ST ST STE B
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City | GAINESVILLE
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State | FL
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Zip | 32606-6667
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Country | US
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Telephone | 352-231-3658
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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