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General NPI Number Information
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NPI Number | 1104090315
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Entity Type | Organization
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Legal Business Name | NICOLE A FRIEDMAN PSYD PA
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Dates
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Enumeration Date | 04/17/2008
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Last Update Date | 04/29/2008
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Provider Practice Location Address
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Address Line | 403 SE 1ST ST
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City | DELRAY BEACH
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State | FL
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Zip | 33483-4540
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Country | US
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Telephone | 954-227-1715
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Fax | 954-227-1719
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Provider Business Mailing Address
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Address Line | 403 SE 1ST ST
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City | DELRAY BEACH
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State | FL
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Zip | 33483-4540
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Country | US
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Telephone | 954-227-1715
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Fax | 954-227-1719
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. NICOLE A. FRIEDMAN
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Credential | PSY.D.
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Telephone | 954-227-1715
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PY6442
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License Number State | FL
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