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General NPI Number Information
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NPI Number | 1235363714
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Entity Type | Organization
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Legal Business Name | KATHLEEN ELIZABETH FRASER
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Dates
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Enumeration Date | 05/12/2009
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Last Update Date | 09/02/2025
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Provider Practice Location Address
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Address Line | 112 W WASHINGTON ST STE 202
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City | MIDDLEBURG
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State | VA
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Zip | 20117-2698
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Country | US
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Telephone | 703-232-2025
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Fax |
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Provider Business Mailing Address
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Address Line | 103 WALNUT ST
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City | MIDDLEBURG
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State | VA
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Zip | 20117-2638
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Country | US
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Telephone | 703-232-2025
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KATHLEEN FRASER
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Credential | L.AC., DIPL. AC.
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Telephone | 703-232-2025
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 0121000451
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License Number State | VA
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