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General NPI Number Information
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NPI Number | 1811501018
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Entity Type | Individual
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Provider Name | KASUMI FRISCH
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Gender | Female
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Dates
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Enumeration Date | 09/04/2020
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Last Update Date | 12/06/2022
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Provider Practice Location Address
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Address Line | 5240 N SHERIDAN RD APT 910
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City | CHICAGO
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State | IL
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Zip | 60640-2598
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Country | US
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Telephone | 415-613-4262
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Fax |
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Provider Business Mailing Address
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Address Line | 9150 CHESAPEAKE DR STE 120
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City | SAN DIEGO
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State | CA
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Zip | 92123-1097
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Country | US
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Telephone | 619-542-0884
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 227020729
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 64575
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License Number State | CA
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