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General NPI Number Information
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NPI Number | 1215323498
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Entity Type | Individual
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Provider Name | JAMAUN FRAZIER
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Gender | Male
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Dates
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Enumeration Date | 04/14/2015
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Last Update Date | 06/07/2024
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Provider Practice Location Address
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Address Line | 9943 CANOGA AVE
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City | CHATSWORTH
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State | CA
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Zip | 91311-3002
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Country | US
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Telephone | 818-773-0800
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Fax |
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Provider Business Mailing Address
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Address Line | 8601 INTERNATIONAL AVE UNIT 222
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City | CANOGA PARK
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State | CA
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Zip | 91304-7504
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Country | US
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Telephone | 818-518-0306
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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 | 2251S0007X
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Taxonomy Name | Sports Physical Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225XP0019X
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Taxonomy Name | Physical Rehabilitation Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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