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General NPI Number Information
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NPI Number | 1306266051
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Entity Type | Organization
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Legal Business Name | DR. JOSHUA FRIEDMAN
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Dates
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Enumeration Date | 04/21/2014
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Last Update Date | 04/30/2014
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Provider Practice Location Address
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Address Line | 6107 MAPLE ST STE B
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City | OMAHA
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State | NE
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Zip | 68104-4001
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Country | US
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Telephone | 402-933-1700
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Fax | 866-615-3670
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Provider Business Mailing Address
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Address Line | 6107 MAPLE ST STE B
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City | OMAHA
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State | NE
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Zip | 68104-4001
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Country | US
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Telephone | 402-933-1700
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Fax | 866-615-3670
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Authorized Official
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Title or Position | OWNER
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Name | JOSHUA H FRIEDMAN
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Credential | PHD
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Telephone | 402-933-1700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | NE651
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License Number State | NE
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