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General NPI Number Information
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NPI Number | 1043031115
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Entity Type | Individual
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Provider Name | PROF. CHRISTIAN FRAZIER
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Gender | Male
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Dates
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Enumeration Date | 10/22/2024
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Last Update Date | 10/22/2024
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Provider Practice Location Address
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Address Line | 100 S ASHLEY DR STE 600
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City | TAMPA
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State | FL
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Zip | 33602-5300
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Country | US
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Telephone | 813-731-6709
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Fax |
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Provider Business Mailing Address
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Address Line | 100 S ASHLEY DR STE 600
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City | TAMPA
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State | FL
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Zip | 33602-5300
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Country | US
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Telephone | 813-731-6709
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Fax |
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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 | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YP1600X
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Taxonomy Name | Pastoral Counselor
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License Number |
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 171000000X
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Taxonomy Name | Military Health Care Provider
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License Number |
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number |
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License Number State | FL
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Taxonomy #5
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Taxonomy Code | 405300000X
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Taxonomy Name | Prevention Professional
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License Number | 3758428
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License Number State | FL
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Taxonomy #6
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Taxonomy Code | 174H00000X
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Taxonomy Name | Health Educator
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License Number |
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License Number State | FL
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