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General NPI Number Information
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NPI Number | 1700093671
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Entity Type | Individual
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Provider Name | GERALD FRASER DDS
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Gender | Male
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Dates
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Enumeration Date | 05/17/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 3435 VALLE VERDE DR SUITE #A
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City | NAPA
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State | CA
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Zip | 94558-2458
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Country | US
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Telephone | 707-253-2770
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Fax |
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Provider Business Mailing Address
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Address Line | 307 HIGHLAND AVE
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City | SAN RAFAEL
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State | CA
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Zip | 94901-2317
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 19878
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License Number State | CA
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