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General NPI Number Information
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NPI Number | 1386003846
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Entity Type | Organization
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Legal Business Name | JULIANA FRIEDMAN, BC-DMT, LPC
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Dates
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Enumeration Date | 02/12/2016
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Last Update Date | 02/12/2016
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Provider Practice Location Address
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Address Line | 5909 SE DIVISION ST
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City | PORTLAND
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State | OR
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Zip | 97206-1470
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Country | US
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Telephone | 503-250-4373
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Fax |
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Provider Business Mailing Address
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Address Line | 5909 SE DIVISION ST
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City | PORTLAND
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State | OR
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Zip | 97206
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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 | PSYCHOTHERAPIST
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Name | JULIANA FRIEDMAN
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Credential |
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Telephone | 503-250-4373
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | C2513
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License Number State | OR
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