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General NPI Number Information
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NPI Number | 1902629595
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Entity Type | Individual
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Provider Name | HANNA MARIE FRIDDLE
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Gender | Female
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Dates
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Enumeration Date | 11/04/2024
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Last Update Date | 03/05/2026
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Provider Practice Location Address
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Address Line | 1264 TAMU
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City | COLLEGE STATION
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State | TX
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Zip | 77843-0001
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Country | US
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Telephone | 979-458-8370
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Fax | 979-458-8326
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Provider Business Mailing Address
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Address Line | 4311 ADDISON CT
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City | COLLEGE STATION
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State | TX
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Zip | 77845-4184
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Country | US
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Telephone | 830-613-1096
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 983209
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 163WC1400X
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Taxonomy Name | College Health Registered Nurse
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License Number | 983209
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 163WA2000X
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Taxonomy Name | Administrator Registered Nurse
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License Number | 983209
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License Number State | TX
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