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General NPI Number Information
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NPI Number | 1912008152
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Entity Type | Individual
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Provider Name | MOLLY S FRITZ-BECKERS MS RN PMHCNS BC
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Gender | Female
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Dates
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Enumeration Date | 09/26/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | RANGE MENTAL HEALTH CENTER PERPICH BUILDING 3203 W 3RD AVE
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City | HIBBING
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State | MN
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Zip | 55746
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Country | US
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Telephone | 218-263-9237
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Fax | 218-262-3150
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Provider Business Mailing Address
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Address Line | 750 EAST 34TH ST. FAIRVIEW MEDICAL CENTER
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City | HIBBING
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State | MN
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Zip | 55746
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Country | US
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Telephone | 218-362-6711
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Fax | 218-213-9055
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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 | 364S00000X
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Taxonomy Name | Clinical Nurse Specialist
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License Number | R1456077
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License Number State | MN
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