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General NPI Number Information
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NPI Number | 1306094347
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Entity Type | Individual
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Provider Name | TRESHONDA FRAZIER
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Gender | Female
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Dates
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Enumeration Date | 09/03/2008
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Last Update Date | 12/14/2011
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Provider Practice Location Address
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Address Line | 3695 F. CASCADE RD #2292
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City | ATLANTA
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State | GA
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Zip | 30331
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Country | US
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Telephone | 678-644-9188
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Fax | 678-644-9188
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Provider Business Mailing Address
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Address Line | 3695F CASCADE RD SW # 2292
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City | ATLANTA
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State | GA
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Zip | 30331-2105
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Country | US
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Telephone | 678-644-9188
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Fax | 404-254-5474
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SLP005692
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License Number State | GA
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