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General NPI Number Information
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NPI Number | 1790253888
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Entity Type | Individual
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Provider Name | LYNNE M FRAZIER PHARMD
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Gender | Female
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Dates
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Enumeration Date | 11/06/2018
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Last Update Date | 03/18/2025
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Provider Practice Location Address
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Address Line | 2600 REDONDO AVE
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City | LONG BEACH
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State | CA
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Zip | 90806-2325
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Country | US
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Telephone | 562-213-9326
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Fax |
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Provider Business Mailing Address
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Address Line | 7270 SW 152ND AVE
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City | BEAVERTON
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State | OR
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Zip | 97007-5044
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 10932
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | 90470
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License Number State | CA
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