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General NPI Number Information
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NPI Number | 1184906265
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Entity Type | Individual
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Provider Name | LAURA KAY FREIDNER L.P.C.
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Gender | Female
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Dates
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Enumeration Date | 09/14/2011
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Last Update Date | 03/14/2013
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Provider Practice Location Address
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Address Line | 1965 NEWARK GRANVILLE RD
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City | GRANVILLE
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State | OH
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Zip | 43023-9171
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Country | US
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Telephone | 740-334-1373
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Fax |
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Provider Business Mailing Address
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Address Line | 80 SUNSET DR
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City | GRANVILLE
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State | OH
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Zip | 43023-1254
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Country | US
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Telephone | 740-334-1373
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | C.0900552
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License Number State | OH
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