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General NPI Number Information
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NPI Number | 1992649362
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Entity Type | Organization
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Legal Business Name | DR SADE D FRAZIER
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Dates
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Enumeration Date | 04/16/2026
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Last Update Date | 04/25/2026
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Provider Practice Location Address
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Address Line | 18-20 LACKAWANNA PLZ STE 200
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City | MONTCLAIR
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State | NJ
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Zip | 07042-3642
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Country | US
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Telephone | 973-447-8689
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Fax | 973-640-7331
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Provider Business Mailing Address
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Address Line | PO BOX 2357
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City | BLOOMFIELD
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State | NJ
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Zip | 07003-9157
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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 | OWNER
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Name | SADE DIAHANN FRAZIER
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Credential | DO
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Telephone | 973-447-8689
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2084F0202X
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Taxonomy Name | Forensic Psychiatry Physician
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License Number |
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License Number State |
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