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General NPI Number Information
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NPI Number | 1114254182
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Entity Type | Individual
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Provider Name | LARI L FRAZEE DO
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Gender | Female
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Dates
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Enumeration Date | 11/11/2009
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Last Update Date | 09/16/2019
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Provider Practice Location Address
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Address Line | 6512 S MCCARRAN BLVD STE D
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City | RENO
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State | NV
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Zip | 89509-6141
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Country | US
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Telephone | 775-900-9987
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Fax | 775-900-9954
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Provider Business Mailing Address
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Address Line | 6512 S MCCARRAN BLVD STE D
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City | RENO
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State | NV
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Zip | 89509-6141
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Country | US
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Telephone | 775-900-9987
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Fax | 775-900-9954
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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 | 20A10977
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 1746
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License Number State | NV
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