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1700951092 NPI number — ELIZABETH BLAINE FRAZE MD

NPI Number: 1700951092
Health Care Provider/Practitioner: ELIZABETH BLAINE FRAZE MD

Information about “1700951092” NPI (ELIZABETH BLAINE FRAZE MD) exists in 1700951092 in HTML format HTML  |  1700951092 in plain Text format TXT  |  1700951092 in PDF (Portable Document Format) PDF  |  1700951092 in an XML format XML  formats.

NPI Number : 1700951092 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1700951092",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "FRAZE",
    "FirstName": "ELIZABETH",
    "MiddleName": "BLAINE",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "MD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1101 WELCH RD",
    "SecondLineMailingAddress": "SUITE C-5",
    "MailingAddressCityName": "PALO ALTO",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "94304-1904",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "650-853-1353",
    "MailingAddressFaxNumber": "650-853-0560",
    "FirstLinePracticeLocationAddress": "1101 WELCH RD",
    "SecondLinePracticeLocationAddress": "SUITE C-5",
    "PracticeLocationAddressCityName": "PALO ALTO",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "94304-1904",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "650-853-1353",
    "PracticeLocationAddressFaxNumber": "650-853-0560",
    "EnumerationDate": "11/21/2006",
    "LastUpdateDate": "07/08/2007",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "207RE0101X",
        "TaxonomyName": "Endocrinology, Diabetes & Metabolism Physician",
        "LicenseNumber": "G42880",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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