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General NPI Number Information
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NPI Number | 1164149712
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Entity Type | Individual
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Provider Name | LILY R FRIEDMAN MPH, PA-C
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Gender | Female
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Dates
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Enumeration Date | 10/25/2022
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Last Update Date | 02/19/2026
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Provider Practice Location Address
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Address Line | 1004 W 32ND ST STE 200
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City | AUSTIN
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State | TX
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Zip | 78705-1918
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Country | US
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Telephone | 512-324-3580
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Fax | 512-324-3581
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Provider Business Mailing Address
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Address Line | 1004 W 32ND ST STE 200
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City | AUSTIN
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State | TX
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Zip | 78705-1918
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Country | US
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Telephone | 512-324-3580
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Fax | 512-324-3581
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA20027
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License Number State | TX
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