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General NPI Number Information
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NPI Number | 1992615397
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Entity Type | Individual
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Provider Name | CLAIRE FRICK
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Gender |
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Dates
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Enumeration Date | 09/09/2026
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Last Update Date | 09/09/2026
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Provider Practice Location Address
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Address Line | 10620 CORPORATE DR
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City | FORT WAYNE
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State | IN
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Zip | 46845-1711
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Country | US
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Telephone | 260-266-7100
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Fax |
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Provider Business Mailing Address
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Address Line | 11109 PARKVIEW PLAZA DR # 117
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City | FORT WAYNE
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State | IN
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Zip | 46845-1701
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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 | 170300000X
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Taxonomy Name | Genetic Counselor (M.S.)
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License Number | 74000800A
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License Number State | IN
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