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NPI 1588619084

NPI 1588619084 : DEBORAH LOUISE FRIEDMAN M.D. : TUCSON, AZ

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General NPI Number Information
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    NPI Number           |    1588619084
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    Entity Type          |    Individual 
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    Provider Name        |    DEBORAH LOUISE FRIEDMAN M.D.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/23/2006
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    Last Update Date     |    07/09/2007
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Provider Practice Location Address
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    Address Line         |    4566 N 1ST AVE SUITE 100
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    City                 |    TUCSON
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    State                |    AZ
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    Zip                  |    85718-5685
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    Country              |    US
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    Telephone            |    520-498-2095
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    Fax                  |    520-498-2099
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Provider Business Mailing Address
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    Address Line         |    4101 N VIA NUEVA 
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    City                 |    TUCSON
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    State                |    AZ
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    Zip                  |    85750-1837
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    Country              |    US
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    Telephone            |    520-529-6409
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    Fax                  |    520-498-2099
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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        |    174400000X
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    Taxonomy Name        |    Specialist
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    License Number       |    19149
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    License Number State |    AZ
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