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General NPI Number Information
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NPI Number | 1811752215
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Entity Type | Individual
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Provider Name | ANDREA JADE FRAIMAN M.ED.
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Gender | Female
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Dates
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Enumeration Date | 02/15/2024
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Last Update Date | 02/15/2024
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Provider Practice Location Address
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Address Line | 368 RALEIGH ST
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City | HOLLY SPRINGS
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State | NC
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Zip | 27540-9047
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Country | US
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Telephone | 919-233-7360
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Fax |
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Provider Business Mailing Address
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Address Line | 4231 WOODLAKE PL APT 210
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City | RALEIGH
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State | NC
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Zip | 27607-7533
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Country | US
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Telephone | 443-895-0101
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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