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General NPI Number Information
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NPI Number | 1407116387
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Entity Type | Organization
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Legal Business Name | THOMAS D. FRIEDRICHS PH.D. P.C.
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Dates
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Enumeration Date | 05/24/2012
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Last Update Date | 05/24/2012
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Provider Practice Location Address
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Address Line | 5605 GLENRIDGE DR NE SUITE 600
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City | ATLANTA
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State | GA
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Zip | 30342-1365
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Country | US
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Telephone | 404-257-9991
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Fax | 404-257-0299
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Provider Business Mailing Address
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Address Line | 5605 GLENRIDGE DR NE SUITE 600
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City | ATLANTA
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State | GA
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Zip | 30342-1365
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Country | US
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Telephone | 404-257-9991
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Fax | 404-257-0299
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | THOMAS D FRIEDRICHS
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Credential |
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Telephone | 404-257-9991
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY000327
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License Number State | GA
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