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General NPI Number Information
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NPI Number | 1871693952
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Entity Type | Individual
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Provider Name | AMY JOHANNA FRAZIER MD
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Gender | Female
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Dates
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Enumeration Date | 09/25/2006
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Last Update Date | 08/06/2025
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Provider Practice Location Address
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Address Line | 2255 W NORTHERN AVE
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City | PHOENIX
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State | AZ
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Zip | 85021-4936
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Country | US
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Telephone | 205-964-2924
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Fax |
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Provider Business Mailing Address
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Address Line | 3623 CROSSINGS DR STE 297
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City | PRESCOTT
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State | AZ
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Zip | 86305-7101
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Country | US
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Telephone | 602-277-5551
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | WY16513C
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License Number State | WY
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Taxonomy #2
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Taxonomy Code | 2084P0805X
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Taxonomy Name | Geriatric Psychiatry Physician
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License Number | 28774
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License Number State | AZ
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