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General NPI Number Information
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NPI Number | 1386344398
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Entity Type | Individual
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Provider Name | MARISIA LACHAY FRAZIER MA
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Gender | Female
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Dates
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Enumeration Date | 03/08/2023
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Last Update Date | 03/08/2023
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Provider Practice Location Address
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Address Line | 1420 DONELSON PIKE STE B19
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City | NASHVILLE
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State | TN
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Zip | 37217-2999
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Country | US
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Telephone | 629-255-0586
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Fax | 629-237-2500
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Provider Business Mailing Address
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Address Line | 2131 ELM HILL PIKE APT F132
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City | NASHVILLE
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State | TN
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Zip | 37210-3948
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Country | US
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Telephone | 704-397-6590
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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