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NPI 1558596452

NPI 1558596452 : MONICA LAUREN FRIEDMAN D.O. : ORLANDO, FL

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General NPI Number Information
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    NPI Number           |    1558596452
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    Entity Type          |    Individual 
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    Provider Name        |    MONICA LAUREN FRIEDMAN D.O.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/20/2009
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    Last Update Date     |    03/06/2019
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Provider Practice Location Address
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    Address Line         |    60 W GORE ST 
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    City                 |    ORLANDO
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    State                |    FL
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    Zip                  |    32806-1141
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    Country              |    US
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    Telephone            |    352-294-5252
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    Fax                  |    352-294-5248
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Provider Business Mailing Address
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    Address Line         |    60 W GORE ST 
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    City                 |    ORLANDO
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    State                |    FL
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    Zip                  |    32806-1141
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    Country              |    US
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    Telephone            |    352-294-5252
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    Fax                  |    352-294-5248
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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        |    208000000X
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    Taxonomy Name        |    Pediatrics Physician
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    License Number       |    UO2076
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    License Number State |    FL
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Taxonomy #2
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    Taxonomy Code        |    2080P0216X
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    Taxonomy Name        |    Pediatric Rheumatology Physician
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    License Number       |    Q6229
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    License Number State |    TX
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Taxonomy #3
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    Taxonomy Code        |    208000000X
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    Taxonomy Name        |    Pediatrics Physician
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    License Number       |    265826
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    License Number State |    NY
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Taxonomy #4
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    Taxonomy Code        |    2080P0216X
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    Taxonomy Name        |    Pediatric Rheumatology Physician
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    License Number       |    OS11697
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    License Number State |    FL
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