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General NPI Number Information
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NPI Number | 1154268811
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Entity Type | Individual
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Provider Name | JESSICA URANIA FRAZIER
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Gender | Female
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Dates
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Enumeration Date | 04/30/2026
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Last Update Date | 04/30/2026
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Provider Practice Location Address
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Address Line | 1800 EAGLE LANDING BLVD
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City | HANAHAN
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State | SC
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Zip | 29410-8517
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Country | US
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Telephone | 843-327-4013
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Fax |
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Provider Business Mailing Address
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Address Line | 2492 ETIWAN AVE
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City | CHARLESTON
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State | SC
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Zip | 29414-5567
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Country | US
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Telephone | 843-327-4013
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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 | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 31814
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License Number State | SC
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