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General NPI Number Information
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NPI Number | 1003090440
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Entity Type | Organization
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Legal Business Name | SANFORD L. FRIEDLANDER
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Dates
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Enumeration Date | 12/20/2007
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Last Update Date | 06/15/2015
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Provider Practice Location Address
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Address Line | 1264 HIGUERA ST SUITE 208
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City | SAN LUIS OBISPO
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State | CA
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Zip | 93401-3124
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Country | US
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Telephone | 805-543-5301
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Fax |
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Provider Business Mailing Address
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Address Line | 1264 HIGUERA ST SUITE 208
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City | SAN LUIS OBISPO
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State | CA
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Zip | 93401-3124
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Country | US
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Telephone | 805-543-5301
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Fax |
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Authorized Official
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Title or Position | DIRECTOR/OWNER
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Name | MR. SANFORD LOUIS FRIEDLANDER
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Credential | LMFT
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Telephone | 805-543-5301
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MFC 34501
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License Number State | CA
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