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General NPI Number Information
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NPI Number | 1033313572
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Entity Type | Individual
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Provider Name | EVELYN FRAZIER MD
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Gender | Female
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Dates
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Enumeration Date | 06/11/2007
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Last Update Date | 08/26/2016
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Provider Practice Location Address
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Address Line | 675 PETER JEFFERSON PKWY SUITE 130
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22911-8618
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Country | US
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Telephone | 434-202-8242
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Fax | 434-202-1006
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Provider Business Mailing Address
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Address Line | 675 PETER JEFFERSON PKWY SUITE 130
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22911-8618
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Country | US
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Telephone | 434-202-8242
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Fax | 434-202-1006
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 0101248280
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 2080P0006X
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Taxonomy Name | Developmental - Behavioral Pediatrics Physician
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License Number | 0101248280
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License Number State | VA
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