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General NPI Number Information
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NPI Number | 1164493219
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Entity Type | Individual
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Provider Name | ANDREW JOHN FRASCO PHARMD
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Gender | Male
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Dates
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Enumeration Date | 01/27/2006
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Last Update Date | 02/18/2025
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Provider Practice Location Address
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Address Line | 4112 N JOSEY LN
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City | CARROLLTON
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State | TX
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Zip | 75007-1509
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Country | US
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Telephone | 972-394-3980
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Fax | 972-395-1825
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Provider Business Mailing Address
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Address Line | 436 ESHLURE COURT
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City | DELAWARE
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State | OH
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Zip | 43015-8945
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Country | US
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Telephone | 614-390-1688
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 0202206459
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 03-3-27156
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 49817
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License Number State | TX
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