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General NPI Number Information
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NPI Number | 1003146440
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Entity Type | Organization
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Legal Business Name | DAVID FRIEND, LCSW
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Dates
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Enumeration Date | 01/07/2010
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Last Update Date | 10/20/2010
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Provider Practice Location Address
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Address Line | 9631 W EMORY RD.
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City | KNOXVILLE
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State | TN
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Zip | 37931
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Country | US
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Telephone | 865-219-9559
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 7365
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City | KNOXVILLE
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State | TN
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Zip | 37921
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Country | US
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Telephone | 865-219-9559
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. DAVID FRIEND
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Credential | LCSW
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Telephone | 928-241-3860
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 5272
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License Number State | TN
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