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NPI 1821773961

NPI 1821773961 : DEVLIN JEAN FROST PA-C : PAWTUCKET, RI

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General NPI Number Information
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    NPI Number           |    1821773961
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    Entity Type          |    Individual 
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    Provider Name        |    DEVLIN JEAN FROST PA-C
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/16/2023
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    Last Update Date     |    10/02/2025
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Provider Practice Location Address
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    Address Line         |    1145 MAIN ST 
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    City                 |    PAWTUCKET
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    State                |    RI
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    Zip                  |    02860-7825
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    Country              |    US
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    Telephone            |    401-722-0081
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    20 LANCASTER DR 
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    City                 |    TEWKSBURY
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    State                |    MA
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    Zip                  |    01876-1359
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    Country              |    US
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    Telephone            |    978-979-1854
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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        |    363AM0700X
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    Taxonomy Name        |    Medical Physician Assistant
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    License Number       |    
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    License Number State |    
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