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General NPI Number Information
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NPI Number | 1164461752
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Entity Type | Individual
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Provider Name | DAVID I. FRIEND M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/06/2006
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Last Update Date | 07/08/2021
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Provider Practice Location Address
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Address Line | 14916 GREENLEAF ST
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City | SHERMAN OAKS
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State | CA
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Zip | 91403-4003
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Country | US
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Telephone | 818-212-0540
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Fax |
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Provider Business Mailing Address
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Address Line | 14916 GREENLEAF ST
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City | SHERMAN OAKS
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State | CA
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Zip | 91403-4003
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Country | US
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Telephone | 818-212-0540
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Fax |
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | G68378
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | DR.0063679
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License Number State | CO
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