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General NPI Number Information
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NPI Number | 1740050723
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Entity Type | Individual
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Provider Name | ASHLEY FRAZIER
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Gender | Female
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Dates
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Enumeration Date | 01/02/2024
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Last Update Date | 01/02/2024
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Provider Practice Location Address
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Address Line | 505 E TRAVIS ST
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City | MARSHALL
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State | TX
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Zip | 75670-4258
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Country | US
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Telephone | 903-702-5515
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Fax |
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Provider Business Mailing Address
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Address Line | 503 AUDREY ST
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City | LONGVIEW
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State | TX
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Zip | 75601-6002
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Country | US
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Telephone | 903-237-9773
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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