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General NPI Number Information
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NPI Number | 1093363947
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Entity Type | Individual
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Provider Name | VICTORIA FRIEDMAN NP-C
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Gender | Female
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Dates
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Enumeration Date | 09/03/2019
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Last Update Date | 02/03/2025
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Provider Practice Location Address
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Address Line | 443 CONGRESS ST FL 2
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City | PORTLAND
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State | ME
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Zip | 04101-3531
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Country | US
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Telephone | 866-476-1321
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Fax | 207-773-1697
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Provider Business Mailing Address
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Address Line | 784 HERCULES DR STE 110
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City | COLCHESTER
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State | VT
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Zip | 05446-8049
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Country | US
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Telephone | 802-448-9784
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Fax | 802-448-9784
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | CNP191190
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License Number State | ME
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Taxonomy #2
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | CNP191190
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License Number State | ME
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