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General NPI Number Information
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NPI Number | 1700987849
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Entity Type | Organization
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Legal Business Name | ENRIQUE FRIEDMAN, M.D., INC.
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Dates
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Enumeration Date | 09/25/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1400 N HARBOR BLVD SUITE 106
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City | FULLERTON
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State | CA
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Zip | 92835-4126
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Country | US
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Telephone | 714-879-2732
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Fax |
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Provider Business Mailing Address
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Address Line | 1400 N HARBOR BLVD SUITE 106
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City | FULLERTON
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State | CA
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Zip | 92835-4126
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Country | US
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Telephone | 714-879-2732
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ENRIQUE FRIEDMAN, M.D.
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Credential | M.D.
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Telephone | 714-879-2732
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | A26023
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License Number State | CA
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