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General NPI Number Information
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NPI Number | 1457391385
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Entity Type | Organization
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Legal Business Name | FRAZIER HART INC
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Dates
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Enumeration Date | 06/08/2006
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Last Update Date | 06/11/2010
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Provider Practice Location Address
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Address Line | 125 NORTH FRANKLIN AVE SUITE 1
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City | WASHINGTON
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State | PA
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Zip | 15301
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Country | US
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Telephone | 724-225-6500
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Fax | 724-225-8188
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Provider Business Mailing Address
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Address Line | 125 NORTH FRANKLIN AVE SUITE 1
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City | WASHINGTON
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State | PA
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Zip | 15301
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Country | US
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Telephone | 724-225-6500
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Fax | 724-225-8188
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Authorized Official
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Title or Position | CREDENTIALING COORDINATOR
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Name | MS. TRACEY ERATH
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Credential | CREDENTIALING COORDI
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Telephone | 724-225-6500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 207RC000X
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 83661837
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License Number State | PA
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