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Individual
DR. DAVID FREDERICK
Active
Individual
DR. DAVID FREDERICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD, ND, DHR, DSC
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
103T00000X
NM
175F00000X
Naturopath
Primary
175F00000X
NM
175L00000X
Homeopath
175L00000X
NM
Other
Enumeration date
04/27/2017
Last updated
04/27/2017
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