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General NPI Number Information
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NPI Number | 1508904079
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Entity Type | Individual
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Provider Name | CYNTHIA ANNE FRAED M.D.
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Gender | Female
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Dates
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Enumeration Date | 02/04/2007
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Last Update Date | 01/22/2015
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Provider Practice Location Address
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Address Line | 121 S ESTES DR SUITE 205-D
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City | CHAPEL HILL
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State | NC
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Zip | 27514-2868
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Country | US
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Telephone | 919-969-1414
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Fax |
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Provider Business Mailing Address
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Address Line | 8 HIDDEN RIDGE CT
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City | DURHAM
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State | NC
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Zip | 27707-5460
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Country | US
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Telephone | 919-401-4740
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 036-054359
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | R6686
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 2005-00376
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License Number State | NC
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Taxonomy #4
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 35.090624
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License Number State | OH
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