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General NPI Number Information
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NPI Number | 1518930544
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Entity Type | Individual
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Provider Name | CYNTHIA H FRASER M.D.
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Gender | Female
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Dates
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Enumeration Date | 02/09/2006
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Last Update Date | 12/13/2011
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Provider Practice Location Address
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Address Line | 7785 N STATE ST SUITE 210
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City | LOWVILLE
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State | NY
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Zip | 13367-1229
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Country | US
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Telephone | 315-348-8407
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Fax | 315-376-5129
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Provider Business Mailing Address
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Address Line | PO BOX 2337
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City | SYRACUSE
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State | NY
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Zip | 13220-2337
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Country | US
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Telephone | 315-701-5607
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Fax | 315-701-5608
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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 | 228497
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License Number State | NY
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