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General NPI Number Information
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NPI Number | 1770493827
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Entity Type | Organization
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Legal Business Name | WESTON FRANDSEN LLC
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Dates
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Enumeration Date | 09/10/2026
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Last Update Date | 09/10/2026
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Provider Practice Location Address
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Address Line | 702 CENTER ST W
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City | KIMBERLY
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State | ID
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Zip | 83341-1722
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Country | US
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Telephone | 208-423-6444
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Fax | 208-423-6903
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Provider Business Mailing Address
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Address Line | 702 CENTER ST W
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City | KIMBERLY
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State | ID
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Zip | 83341-1722
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Country | US
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Telephone | 208-423-6444
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Fax | 208-423-6903
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Authorized Official
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Title or Position | DENTIST
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Name | WESTON FRANDSEN
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Credential | DMD
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Telephone | 208-423-6444
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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