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General NPI Number Information
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NPI Number | 1780598672
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Entity Type | Individual
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Provider Name | SUSAN FRAZER
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Gender | Female
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Dates
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Enumeration Date | 09/29/2026
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Last Update Date | 09/29/2026
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Provider Practice Location Address
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Address Line | 980 UNIVERSITY AVE
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City | LOS GATOS
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State | CA
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Zip | 95032-7620
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Country | US
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Telephone | 408-556-0600
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Fax |
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Provider Business Mailing Address
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Address Line | 17620 RACCOON CT
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City | MORGAN HILL
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State | CA
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Zip | 95037-6314
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Country | US
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Telephone | 408-202-2015
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 188901
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License Number State | CA
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