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General NPI Number Information
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NPI Number | 1881421071
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Entity Type | Individual
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Provider Name | SIERRA CHEYENNE FROSLEY
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Gender | Female
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Dates
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Enumeration Date | 09/19/2024
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Last Update Date | 09/19/2024
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Provider Practice Location Address
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Address Line | 4132 BRISTOL HWY STE 5
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City | JOHNSON CITY
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State | TN
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Zip | 37601-3162
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Country | US
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Telephone | 423-328-1289
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Fax |
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Provider Business Mailing Address
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Address Line | 209 FOX MEADOWS DR
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City | CHURCH HILL
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State | TN
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Zip | 37642-3340
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Country | US
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Telephone | 423-388-5036
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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