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General NPI Number Information
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NPI Number | 1568122182
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Entity Type | Individual
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Provider Name | LAUREN ELIZABETH FRASER
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Gender | Female
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Dates
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Enumeration Date | 12/22/2021
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Last Update Date | 12/31/2021
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Provider Practice Location Address
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Address Line | 1900 LAUDERDALE DR
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City | RICHMOND
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State | VA
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Zip | 23238-3933
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Country | US
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Telephone | 804-740-2900
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Fax |
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Provider Business Mailing Address
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Address Line | 402 TILDEN ST
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City | RICHMOND
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State | VA
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Zip | 23221-2315
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Country | US
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Telephone | 804-339-5024
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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 | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number | 0131-002623
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number |
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License Number State |
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