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General NPI Number Information
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NPI Number | 1912926742
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Entity Type | Individual
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Provider Name | JILL FRIESEN MD
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Gender | Female
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Dates
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Enumeration Date | 07/19/2006
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Last Update Date | 09/25/2018
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Provider Practice Location Address
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Address Line | 2105 COURT ST
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City | REDDING
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State | CA
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Zip | 96001-2531
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Country | US
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Telephone | 530-262-6626
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Fax | 530-262-6624
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Provider Business Mailing Address
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Address Line | PO BOX 992616
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City | REDDING
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State | CA
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Zip | 96099-2616
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Country | US
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Telephone | 530-262-6626
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Fax | 530-262-6624
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | A68025
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License Number State | CA
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