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General NPI Number Information
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NPI Number | 1144376674
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Entity Type | Organization
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Legal Business Name | FRAZIER & FRAZIER ENTERPRISE INC
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Dates
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Enumeration Date | 01/26/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 21927 MARINE VW DR SO
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City | DES MOINES
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State | WA
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Zip | 98198
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Country | US
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Telephone | 206-592-8500
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Fax | 206-592-8501
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Provider Business Mailing Address
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Address Line | 21927 MARINE VW DR SO
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City | DES MOINES
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State | WA
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Zip | 98198
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Country | US
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Telephone | 206-592-8500
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Fax | 206-592-8501
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Authorized Official
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Title or Position | CEO OF THE BUSINESS
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Name | MRS. BEVERLY ANN FRAZIER
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Credential | LMP
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Telephone | 206-592-8500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | MA00015378
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License Number State | WA
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