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General NPI Number Information
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NPI Number | 1841730611
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Entity Type | Individual
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Provider Name | KIRSTEN TAYLOR FRAZIER D.M.D
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Gender | Female
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Dates
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Enumeration Date | 02/27/2017
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Last Update Date | 01/31/2022
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Provider Practice Location Address
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Address Line | 1340 HIGHWAY 14
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City | SIMPSONVILLE
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State | SC
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Zip | 29681-5637
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Country | US
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Telephone | 864-686-6202
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Fax |
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Provider Business Mailing Address
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Address Line | 1340 HIGHWAY 14
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City | SIMPSONVILLE
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State | SC
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Zip | 29681-5637
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Country | US
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Telephone | 864-686-6202
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 9800
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 021.003026
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License Number State | SC
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State | IL
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Taxonomy #4
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 9835
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License Number State | SC
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