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General NPI Number Information
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NPI Number | 1184094898
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Entity Type | Organization
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Legal Business Name | CLAUDE C. FRAZIER, III, DO
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Dates
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Enumeration Date | 10/07/2015
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Last Update Date | 11/06/2015
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Provider Practice Location Address
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Address Line | 501 19TH ST STE 309
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City | KNOXVILLE
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State | TN
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Zip | 37916-1854
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Country | US
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Telephone | 865-541-2929
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Fax | 865-541-2928
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Provider Business Mailing Address
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Address Line | PO BOX 11849
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City | KNOXVILLE
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State | TN
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Zip | 37939-1849
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Country | US
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Telephone | 865-541-2929
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Fax | 865-541-2928
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Authorized Official
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Title or Position | OWNER
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Name | CLAUDE C. FRAZIER III
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Credential | MD
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Telephone | 865-541-2929
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number |
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License Number State | TN
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