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General NPI Number Information
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NPI Number | 1235168501
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Entity Type | Organization
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Legal Business Name | BEN FRIEDMAN, INC
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Dates
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Enumeration Date | 06/30/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 10771 SHERMAN WAY
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City | SUN VALLEY
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State | CA
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Zip | 91352-5155
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Country | US
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Telephone | 818-503-8806
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Fax | 818-503-8826
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Provider Business Mailing Address
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Address Line | 10771 SHERMAN WAY
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City | SUN VALLEY
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State | CA
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Zip | 91352-5155
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Country | US
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Telephone | 818-503-8806
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Fax | 818-503-8826
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Authorized Official
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Title or Position | OWNER
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Name | MR. BEN FRIEDMAN
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Credential | R.PH
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Telephone | 818-262-6222
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PHY44839
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License Number State | CA
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