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General NPI Number Information
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NPI Number | 1114140795
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Entity Type | Individual
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Provider Name | NICOLE RENEE FRAM MD
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Gender | Female
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Dates
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Enumeration Date | 04/11/2007
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Last Update Date | 11/16/2016
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Provider Practice Location Address
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Address Line | 2080 CENTURY PARK EAST SUITE 911
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City | LOS ANGELES
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State | CA
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Zip | 90067-2012
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Country | US
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Telephone | 310-229-1220
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Fax | 310-229-1222
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Provider Business Mailing Address
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Address Line | 2080 CENTURY PARK EAST SUITE 911
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City | LOS ANGELES
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State | CA
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Zip | 90067-2012
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Country | US
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Telephone | 310-229-1220
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Fax | 310-229-1222
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | A100271
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License Number State | CA
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