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General NPI Number Information
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NPI Number | 1992671283
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Entity Type | Organization
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Legal Business Name | RISE & SHINE ORTHOPEDICS PLLC
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Dates
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Enumeration Date | 10/14/2025
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Last Update Date | 02/13/2026
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Provider Practice Location Address
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Address Line | 7237 FENTON RD
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City | GRAND BLANC
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State | MI
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Zip | 48439-8961
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Country | US
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Telephone | 810-223-0500
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Fax |
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Provider Business Mailing Address
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Address Line | 7237 FENTON RD
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City | GRAND BLANC
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State | MI
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Zip | 48439-8961
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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 | PRESIDENT
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Name | STACY A FRYE
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Credential | MD
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Telephone | 810-223-0500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XP3100X
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Taxonomy Name | Pediatric Orthopaedic Surgery Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2080S0010X
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Taxonomy Name | Pediatric Sports Medicine Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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