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General NPI Number Information
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NPI Number | 1467336818
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Entity Type | Individual
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Provider Name | BENJAMIN FRIEDMAN AMFT
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Gender | Male
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Dates
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Enumeration Date | 07/31/2025
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Last Update Date | 07/31/2025
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Provider Practice Location Address
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Address Line | 332 JERSEY ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94114-3710
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Country | US
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Telephone | 248-752-6461
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Fax |
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Provider Business Mailing Address
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Address Line | 6971 WOODSIDE TRL
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City | WEST BLOOMFIELD
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State | MI
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Zip | 48322-3918
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Country | US
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Telephone | 248-752-6461
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Fax |
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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