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General NPI Number Information
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NPI Number | 1679750962
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Entity Type | Organization
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Legal Business Name | FRAGER ASSOCIATES INC
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Dates
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Enumeration Date | 01/29/2008
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Last Update Date | 01/29/2008
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Provider Practice Location Address
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Address Line | 3906 DUPONT SQUARE SOUTH SUITE E
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City | LOUISVILLE
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State | KY
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Zip | 40207
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Country | US
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Telephone | 502-893-6654
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Fax | 502-895-0000
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Provider Business Mailing Address
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Address Line | 3906 DUPONT SQUARE SOUTH SUITE E
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City | LOUISVILLE
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State | KY
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Zip | 40207
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Country | US
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Telephone | 502-893-6654
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Fax | 502-895-0000
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Authorized Official
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Title or Position | OWNER PRESIDENT
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Name | STANLEY R FRAGER
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Credential | PHD
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Telephone | 502-893-6654
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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