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Individual
AMIE FREDERICK
Active
Individual
AMIE FREDERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0004295
CO
363A00000X
Physician Assistant
003828
CT
363A00000X
Physician Assistant
0110-005632
VA
363A00000X
Physician Assistant
Primary
055-0031625
VT
Other
Enumeration date
07/15/2015
Last updated
04/05/2023
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