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General NPI Number Information
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NPI Number | 1699032953
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Entity Type | Individual
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Provider Name | ARLENE FRAZIER RN
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Gender | Female
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Dates
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Enumeration Date | 04/11/2012
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Last Update Date | 01/13/2025
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Provider Practice Location Address
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Address Line | 501 S 54TH ST
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City | PHILADELPHIA
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State | PA
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Zip | 19143-1900
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Country | US
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Telephone | 445-428-5800
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Fax |
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Provider Business Mailing Address
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Address Line | 114 E CAYHILL LN
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City | SMYRNA
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State | DE
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Zip | 19977-3985
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Country | US
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Telephone |
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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 | 163WS0200X
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Taxonomy Name | School Registered Nurse
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License Number | L1-0038167
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License Number State | DE
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | SP030343
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License Number State | PA
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