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General NPI Number Information
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NPI Number | 1851571202
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Entity Type | Individual
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Provider Name | MRS. CRYSTAL W FRAZIER
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Gender | Female
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Dates
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Enumeration Date | 11/13/2007
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Last Update Date | 05/22/2014
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Provider Practice Location Address
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Address Line | 1020 CHARTER DR
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City | FLINT
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State | MI
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Zip | 48532-3584
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Country | US
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Telephone | 810-720-2990
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Fax | 810-720-2993
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Provider Business Mailing Address
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Address Line | 6114 PINE CREEK CT
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City | GRAND BLANC
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State | MI
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Zip | 48439-9768
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Country | US
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Telephone | 810-423-1211
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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