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General NPI Number Information
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NPI Number | 1548328990
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Entity Type | Individual
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Provider Name | SYLVIA A FRAZIER-BOWERS DDS, PHD
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Gender | Female
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Dates
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Enumeration Date | 12/05/2006
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Last Update Date | 11/01/2024
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Provider Practice Location Address
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Address Line | 1121 W MICHIGAN ST
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City | INDIANAPOLIS
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State | IN
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Zip | 46202-5211
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Country | US
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Telephone | 317-274-8304
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Fax |
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Provider Business Mailing Address
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Address Line | 1121 W MICHIGAN ST
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City | INDIANAPOLIS
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State | IN
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Zip | 46202-5211
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Country | US
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Telephone | 919-923-5453
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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 | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 200001313058
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 019.024587
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 12014184A
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License Number State | IN
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