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General NPI Number Information
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NPI Number | 1730247982
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Entity Type | Individual
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Provider Name | JOHN H FRIEND MD
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Gender | Male
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Dates
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Enumeration Date | 12/04/2006
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Last Update Date | 03/26/2015
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Provider Practice Location Address
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Address Line | 1526 PLUMAS CT SUITE #300
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City | YUBA CITY
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State | CA
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Zip | 95991-2961
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Country | US
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Telephone | 916-452-2761
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Fax | 209-745-7720
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Provider Business Mailing Address
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Address Line | PO BOX 160327
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City | SACRAMENTO
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State | CA
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Zip | 95816-0327
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Country | US
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Telephone | 916-952-2761
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Fax | 209-745-7720
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | A286060
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License Number State | CA
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