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General NPI Number Information
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NPI Number | 1285262378
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Entity Type | Individual
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Provider Name | PHILIP A PICARD-FRASER MD
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Gender | Male
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Dates
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Enumeration Date | 04/01/2020
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Last Update Date | 07/09/2025
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Provider Practice Location Address
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Address Line | 6651 MAIN ST
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City | HOUSTON
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State | TX
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Zip | 77030-2351
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Country | US
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Telephone | 832-826-6230
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Fax |
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Provider Business Mailing Address
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Address Line | 6651 MAIN ST
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City | HOUSTON
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State | TX
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Zip | 77030-2351
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Country | US
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Telephone | 832-824-1000
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Fax | 832-825-8750
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 1020178
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 1020178
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License Number State | MA
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