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General NPI Number Information
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NPI Number | 1982932711
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Entity Type | Individual
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Provider Name | ANNE M FRITCHER PA
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Gender | Female
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Dates
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Enumeration Date | 12/07/2009
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Last Update Date | 08/29/2019
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Provider Practice Location Address
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Address Line | 189 MOUNT PELIA RD
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City | MARTIN
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State | TN
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Zip | 38237
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Country | US
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Telephone | 731-587-2202
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Fax | 731-986-0011
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Provider Business Mailing Address
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Address Line | 1488 GUILDFORD DR
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City | BOURBONNAIS
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State | IL
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Zip | 60914
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Country | US
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Telephone | 731-986-2213
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Fax | 731-986-0011
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 1792
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License Number State | TN
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