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General NPI Number Information
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NPI Number | 1417388133
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Entity Type | Individual
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Provider Name | BETHANY FRAZIER R.D., L.D.
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Gender | Female
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Dates
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Enumeration Date | 12/05/2013
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Last Update Date | 06/12/2026
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Provider Practice Location Address
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Address Line | 15445 METCALF AVE
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City | OVERLAND PARK
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State | KS
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Zip | 66223-2801
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Country | US
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Telephone | 913-489-8477
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Fax | 844-692-5186
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Provider Business Mailing Address
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Address Line | 14104 GRANADA RD
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City | OVERLAND PARK
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State | KS
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Zip | 66224-1144
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Country | US
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Telephone | 816-695-8245
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 1879
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 2013042149
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License Number State | MO
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