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General NPI Number Information
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NPI Number | 1487722286
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Entity Type | Organization
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Legal Business Name | JOSEPH W FRAZIER DMD PSC
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Dates
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Enumeration Date | 12/01/2006
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Last Update Date | 02/07/2012
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Provider Practice Location Address
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Address Line | 708 13TH STREET
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City | ASHLAND
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State | KY
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Zip | 41101
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Country | US
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Telephone | 606-325-4231
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Fax | 606-325-8782
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Provider Business Mailing Address
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Address Line | 708 13TH STREET
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City | ASHLAND
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State | KY
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Zip | 41101
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Country | US
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Telephone | 606-325-4231
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Fax | 606-325-8782
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOSEPH W FRAZIER
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Credential | DMD
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Telephone | 606-325-4231
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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 | 4829
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License Number State | KY
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