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General NPI Number Information
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NPI Number | 1902999808
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Entity Type | Individual
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Provider Name | ROGER L FRAZIER DO
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Gender | Male
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Dates
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Enumeration Date | 10/02/2006
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Last Update Date | 03/22/2026
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Provider Practice Location Address
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Address Line | 2008 NO WALNUT ST
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City | HARTFORD CITY
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State | IN
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Zip | 47348
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Country | US
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Telephone | 765-348-0902
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Fax | 765-348-7276
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Provider Business Mailing Address
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Address Line | PO BOX 469 2008 NO WALNUT ST
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City | HARTFORD CITY
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State | IN
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Zip | 47348
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Country | US
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Telephone | 765-348-0902
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Fax | 765-348-7276
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 02000218B
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License Number State | IN
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