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General NPI Number Information
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NPI Number | 1902269566
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Entity Type | Individual
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Provider Name | ANDREW FRAZIER D.O.
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Gender | Male
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Dates
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Enumeration Date | 03/31/2016
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Last Update Date | 08/12/2024
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Provider Practice Location Address
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Address Line | 4321 WASHINGTON ST STE 1200
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City | KANSAS CITY
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State | MO
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Zip | 64111-5905
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Country | US
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Telephone | 816-932-2932
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Fax | 816-932-5491
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Provider Business Mailing Address
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Address Line | 901 E 104TH ST MAILSTOP 400S
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City | KANSAS CITY
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State | MO
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Zip | 64131
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Country | US
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Telephone | 816-932-5678
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Fax | 816-932-7957
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 9408888
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | 2021013639
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License Number State | MO
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