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General NPI Number Information
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NPI Number | 1417098047
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Entity Type | Individual
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Provider Name | CAROL E. FRAZIER DMD
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Gender | Female
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Dates
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Enumeration Date | 02/08/2007
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Last Update Date | 10/03/2023
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Provider Practice Location Address
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Address Line | 2327 COTTMAN AVE STE 4
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City | PHILADELPHIA
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State | PA
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Zip | 19149-1008
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Country | US
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Telephone | 215-332-8700
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Fax |
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Provider Business Mailing Address
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Address Line | 9 DOWLING AVE
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City | AUDUBON
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State | NJ
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Zip | 08106-1433
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Country | US
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Telephone | 609-413-4058
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 22DI02166300
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License Number State | NJ
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