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General NPI Number Information
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NPI Number | 1710132113
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Entity Type | Individual
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Provider Name | JUDITH ANN FRIEDMAN PHD, MFCC
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Gender | Female
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Dates
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Enumeration Date | 11/26/2008
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Last Update Date | 11/26/2008
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Provider Practice Location Address
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Address Line | 6301 OCEAN FRONT WALK # 1
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City | PLAYA DEL REY
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State | CA
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Zip | 90293-7582
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Country | US
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Telephone | 310-821-3328
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Fax | 310-301-1019
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Provider Business Mailing Address
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Address Line | 6301 OCEAN FRONT WALK #1
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City | PLAYA DEL REY
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State | CA
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Zip | 90293-7582
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Country | US
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Telephone | 310-821-3328
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Fax | 310-301-1019
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MFC 20894
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License Number State | CA
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