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General NPI Number Information
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NPI Number | 1891730230
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Entity Type | Individual
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Provider Name | DIRK A FRATER MD
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Gender | Male
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Dates
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Enumeration Date | 06/19/2006
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Last Update Date | 06/20/2008
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Provider Practice Location Address
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Address Line | 8230 WALNUT HILL LN SUITE 818
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City | DALLAS
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State | TX
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Zip | 75231
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Country | US
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Telephone | 214-373-3475
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Fax | 214-373-3476
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Provider Business Mailing Address
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Address Line | 3811 TURTLE CREEK BLVD SUITE 1800
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City | DALLAS
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State | TX
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Zip | 75219
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Country | US
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Telephone |
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | H0992
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License Number State | TX
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