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General NPI Number Information
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NPI Number | 1962370148
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Entity Type | Individual
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Provider Name | ABBEY FRAUENHOLTZ
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Gender | Female
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Dates
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Enumeration Date | 10/28/2025
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Last Update Date | 10/28/2025
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Provider Practice Location Address
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Address Line | 1504 E ELM ST
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City | HARRISONVILLE
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State | MO
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Zip | 64701-2086
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Country | US
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Telephone | 816-380-3273
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Fax |
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Provider Business Mailing Address
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Address Line | 563 DAWN ST
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City | RAYMORE
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State | MO
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Zip | 64083-9807
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Country | US
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Telephone |
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | 2025043186
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | 24-01872
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License Number State | KS
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