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General NPI Number Information
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NPI Number | 1902245129
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Entity Type | Organization
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Legal Business Name | FRONTIER FAMILY HEALTH INC
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Dates
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Enumeration Date | 06/20/2013
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Last Update Date | 06/20/2013
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Provider Practice Location Address
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Address Line | 910 W UNIVERSITY DR
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City | MCKINNEY
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State | TX
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Zip | 75069-4827
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Country | US
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Telephone | 972-542-1205
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Fax | 866-433-1632
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Provider Business Mailing Address
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Address Line | 7275 MOSS RIDGE RD
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City | PARKER
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State | TX
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Zip | 75002-7040
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Country | US
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Telephone | 972-442-4097
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Fax |
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | MRS. JANEL STALDER
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Credential | NP
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Telephone | 972-442-4097
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State | NULL
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