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NPI 1033342100

NPI 1033342100 : WILLIAM C. FRAZIER II PC : HUNTINGDON, PA

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General NPI Number Information
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    NPI Number           |    1033342100
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    Entity Type          |    Organization 
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    Legal Business Name  |    WILLIAM C. FRAZIER II PC 
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Dates
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    Enumeration Date     |    08/24/2009
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    Last Update Date     |    08/24/2009
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Provider Practice Location Address
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    Address Line         |    920 WASHINGTON ST 
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    City                 |    HUNTINGDON
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    State                |    PA
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    Zip                  |    16652-1826
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    Country              |    US
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    Telephone            |    814-643-4757
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    Fax                  |    814-643-4370
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Provider Business Mailing Address
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    Address Line         |    920 WASHINGTON ST 
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    City                 |    HUNTINGDON
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    State                |    PA
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    Zip                  |    16652-1826
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    Country              |    US
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    Telephone            |    814-643-4757
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    Fax                  |    814-643-4370
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    DR. WILLIAM C. FRAZIER II
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    Credential           |    D.M.D.
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    Telephone            |    814-643-4757
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    1223G0001X
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    Taxonomy Name        |    General Practice Dentistry
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    License Number       |    
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    License Number State |    PA
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