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Individual
DAWN RENEE FREDERIC
Active
Individual
DAWN RENEE FREDERIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1-147554
AL
363LF0000X
Family Nurse Practitioner
Primary
ARNP9476463
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
023401500
—
FL
Enumeration date
06/05/2016
Last updated
08/31/2018
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