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General NPI Number Information
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NPI Number | 1225358948
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Entity Type | Organization
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Legal Business Name | CYNTHIA W. FRIEDL, LMHC, LLC
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Dates
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Enumeration Date | 06/03/2010
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Last Update Date | 06/04/2010
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Provider Practice Location Address
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Address Line | 1727 BLANDING BLVD SUITE 104
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City | JACKSONVILLE
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State | FL
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Zip | 32210-1962
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Country | US
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Telephone | 904-388-1428
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Fax | 904-388-1432
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Provider Business Mailing Address
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Address Line | 1727 BLANDING BLVD SUITE 104
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City | JACKSONVILLE
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State | FL
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Zip | 32210-1962
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | LMHC/OWNER
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Name | MS. CYNTHIA FRIEDL
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Credential |
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Telephone | 904-635-8205
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | MH10161
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License Number State | FL
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