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General NPI Number Information
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NPI Number | 1528218062
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Entity Type | Individual
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Provider Name | ELISABETH FRAZIER PH.D.
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Gender | Female
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Dates
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Enumeration Date | 09/21/2008
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Last Update Date | 07/22/2025
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Provider Practice Location Address
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Address Line | 550 CHAPEL DR
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City | GRANVILLE
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State | OH
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Zip | 43023-6504
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Country | US
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Telephone | 740-587-6200
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Fax | 614-366-9489
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Provider Business Mailing Address
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Address Line | 700 ACKERMAN RD STE 2120
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City | COLUMBUS
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State | OH
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Zip | 43202-1559
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Country | US
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Telephone | 740-587-6200
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Fax | 614-366-9489
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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 | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number | PS01427
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License Number State | RI
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | P.08694
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License Number State | OH
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