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General NPI Number Information
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NPI Number | 1992341333
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Entity Type | Individual
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Provider Name | JOURNEA FRYE
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Gender | Female
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Dates
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Enumeration Date | 11/20/2019
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Last Update Date | 05/12/2025
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Provider Practice Location Address
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Address Line | 6850 103RD ST
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City | JACKSONVILLE
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State | FL
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Zip | 32210-6877
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Country | US
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Telephone | 904-201-9116
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Fax |
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Provider Business Mailing Address
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Address Line | 8745 PALM BREEZE RD APT 806
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City | JACKSONVILLE
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State | FL
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Zip | 32256-3758
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Country | US
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Telephone | 904-624-2667
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 0-22-13529
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License Number State |
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