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General NPI Number Information
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NPI Number | 1669599452
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Entity Type | Individual
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Provider Name | MELISSA ANN FRIEDMAN LCSW
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Gender | Female
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Dates
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Enumeration Date | 03/25/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1460 LIVINGSTON AVE
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City | NORTH BRUNSWICK
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State | NJ
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Zip | 08902-1873
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Country | US
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Telephone | 732-729-3600
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Fax | 732-435-0222
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Provider Business Mailing Address
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Address Line | 211 SHINNECOCK DR
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City | MANALAPAN
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State | NJ
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Zip | 07726-9518
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Country | US
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Telephone | 732-851-5124
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 44SC05314000
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License Number State | NJ
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