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General NPI Number Information
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NPI Number | 1164655205
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Entity Type | Individual
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Provider Name | NATALIE LYNN FRASIER O.D.
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Gender | Female
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Dates
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Enumeration Date | 08/24/2009
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Last Update Date | 08/24/2009
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Provider Practice Location Address
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Address Line | 90 VERMONT AVE
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City | OAK RIDGE
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State | TN
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Zip | 37830-6474
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Country | US
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Telephone | 865-482-8900
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Fax | 865-482-7400
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Provider Business Mailing Address
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Address Line | 117 AKINS RD.
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City | WARTBURG
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State | TN
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Zip | 37887-3504
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Country | US
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Telephone | 423-539-3545
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 2894
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License Number State | TN
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