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General NPI Number Information
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NPI Number | 1821262320
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Entity Type | Individual
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Provider Name | SANDRA GIOVANNA FRASSER M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/15/2008
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Last Update Date | 01/06/2012
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Provider Practice Location Address
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Address Line | 1210 WEST BRAKER LANE
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City | AUSTIN
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State | TX
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Zip | 78758
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Country | US
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Telephone | 512-978-9300
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Fax | 512-901-9737
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Provider Business Mailing Address
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Address Line | 15 WALLER ST 5TH FLOOR
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City | AUSTIN
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State | TX
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Zip | 78702-5240
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Country | US
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Telephone | 512-978-9000
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Fax | 512-901-9737
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | N8397
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License Number State | TX
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