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General NPI Number Information
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NPI Number | 1336324656
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Entity Type | Individual
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Provider Name | STEVEN B FRIEDENTHAL MD
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Gender | Male
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Dates
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Enumeration Date | 01/05/2008
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Last Update Date | 09/07/2014
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Provider Practice Location Address
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Address Line | 126 HIDDEN RIDGE DR
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City | MONTICELLO
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State | NY
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Zip | 12701-3092
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Country | US
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Telephone | 646-867-3233
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Fax | 561-948-8343
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Provider Business Mailing Address
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Address Line | 126 HIDDEN RIDGE DR
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City | MONTICELLO
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State | NY
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Zip | 12701-3092
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Country | US
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Telephone | 646-867-3233
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Fax | 561-948-8343
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | ME56709
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 192701
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License Number State | NY
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