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General NPI Number Information
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NPI Number | 1306340088
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Entity Type | Individual
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Provider Name | ERIN NICOLE FRASER
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Gender | Female
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Dates
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Enumeration Date | 03/19/2018
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Last Update Date | 12/07/2022
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Provider Practice Location Address
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Address Line | 5100 W BROAD ST
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City | COLUMBUS
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State | OH
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Zip | 43228-1607
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Country | US
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Telephone | 614-544-1047
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Fax |
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Provider Business Mailing Address
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Address Line | 33 W COLONIAL DR APT 3407
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City | ORLANDO
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State | FL
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Zip | 32801-7313
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Country | US
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Telephone |
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 34.015140
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License Number State | OH
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