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General NPI Number Information
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NPI Number | 1225143993
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Entity Type | Individual
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Provider Name | ALAN JOHN FRIDLUND PHD
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Gender | Male
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Dates
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Enumeration Date | 08/20/2006
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Last Update Date | 01/08/2020
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Provider Practice Location Address
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Address Line | 500 E ESPLANADE DR STE 320
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City | OXNARD
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State | CA
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Zip | 93036-0506
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Country | US
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Telephone | 805-307-1535
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Fax | 805-307-1535
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Provider Business Mailing Address
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Address Line | 3032 N VENTURA RD
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City | OXNARD
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State | CA
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Zip | 93036-2272
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Country | US
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Telephone | 805-307-1535
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Fax | 805-307-1535
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 8446
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PSY8446
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License Number State | CA
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