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General NPI Number Information
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NPI Number | 1801231071
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Entity Type | Organization
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Legal Business Name | JOHN G FRAZEE MD A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 05/01/2013
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Last Update Date | 07/09/2013
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Provider Practice Location Address
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Address Line | 10833 LE CONTE AVE
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City | LOS ANGELES
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State | CA
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Zip | 90095-3075
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Country | US
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Telephone | 310-206-1231
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Fax | 310-267-2208
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Provider Business Mailing Address
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Address Line | 23801 CALABASAS RD STE 2035
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City | CALABASAS
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State | CA
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Zip | 91302-3318
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Country | US
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Telephone | 310-206-1231
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Fax | 310-267-2208
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Authorized Official
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Title or Position | OWNER
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Name | JOHN G FRAZEE
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Credential | M.D.
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Telephone | 310-206-1231
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number |
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License Number State | CA
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