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General NPI Number Information
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NPI Number | 1811468432
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Entity Type | Individual
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Provider Name | STEPHEN RAYMOND FRATES FNP
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Gender | Male
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Dates
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Enumeration Date | 12/07/2018
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Last Update Date | 10/07/2025
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Provider Practice Location Address
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Address Line | 9484 E 22ND ST STE B-1
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City | TUCSON
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State | AZ
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Zip | 85710-7312
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Country | US
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Telephone | 480-677-8282
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Fax | 888-316-1686
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Provider Business Mailing Address
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Address Line | 261 N ROOSEVELT AVE
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City | CHANDLER
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State | AZ
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Zip | 85226-2617
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Country | US
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Telephone | 480-677-8282
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Fax | 888-316-1686
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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 | 163WG0000X
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Taxonomy Name | General Practice Registered Nurse
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License Number | AP11731
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 363LX0106X
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Taxonomy Name | Occupational Health Nurse Practitioner
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License Number | AP11731
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP11731
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License Number State | AZ
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