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General NPI Number Information
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NPI Number | 1144790387
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Entity Type | Organization
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Legal Business Name | FRIEDMAN PSYCHOLOGY GROUP
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Dates
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Enumeration Date | 11/30/2018
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Last Update Date | 11/30/2018
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Provider Practice Location Address
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Address Line | 1900 GLADES RD STE 352
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City | BOCA RATON
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State | FL
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Zip | 33431-7333
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Country | US
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Telephone | 561-699-3915
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Fax |
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Provider Business Mailing Address
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Address Line | 1900 GLADES RD STE 352
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City | BOCA RATON
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State | FL
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Zip | 33431-7333
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Country | US
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Telephone | 561-699-3915
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ADAM FRIEDMAN
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Credential |
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Telephone | 561-699-3915
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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 |
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License Number State |
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