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General NPI Number Information
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NPI Number | 1396847026
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Entity Type | Individual
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Provider Name | SUSAN J HATTERS-FRIEDMAN MD
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Gender | Female
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Dates
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Enumeration Date | 09/02/2006
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Last Update Date | 01/12/2021
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Provider Practice Location Address
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Address Line | 11100 EUCLID AVE
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City | CLEVELAND
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State | OH
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Zip | 44106-1716
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Country | US
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Telephone | 216-844-2400
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Fax |
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Provider Business Mailing Address
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Address Line | 10524 EUCLID AVE STE 7-133
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City | CLEVELAND
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State | OH
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Zip | 44106-2205
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Country | US
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Telephone | 216-286-7426
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Fax | 440-684-5952
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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 | 2084F0202X
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Taxonomy Name | Forensic Psychiatry Physician
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License Number | 35-082027
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License Number State | OH
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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 | 35-082027
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License Number State | OH
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