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General NPI Number Information
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NPI Number | 1235312554
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Entity Type | Organization
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Legal Business Name | MARGARET C. FRASER MD
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Dates
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Enumeration Date | 12/10/2007
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Last Update Date | 12/10/2007
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Provider Practice Location Address
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Address Line | 65 N MAPLE AVE
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City | RIDGEWOOD
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State | NJ
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Zip | 07450-3233
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Country | US
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Telephone | 201-444-6844
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Fax |
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Provider Business Mailing Address
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Address Line | 65 N MAPLE AVE
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City | RIDGEWOOD
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State | NJ
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Zip | 07450-3233
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Country | US
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Telephone | 201-444-6844
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Fax |
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Authorized Official
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Title or Position | PSYCHIATRIST
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Name | DR. MARGARET CAMERON FRASER
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Credential | M.D.
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Telephone | 201-444-6844
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 25MA05959000
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License Number State | NJ
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