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General NPI Number Information
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NPI Number | 1750868816
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Entity Type | Individual
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Provider Name | YOHANNA FRIEDMAN MEDLEY MSW
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Gender | Female
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Dates
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Enumeration Date | 07/22/2018
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Last Update Date | 07/22/2018
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Provider Practice Location Address
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Address Line | 168 W CENTRAL ST
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City | NATICK
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State | MA
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Zip | 01760-4122
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Country | US
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Telephone | 508-655-1000
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Fax | 508-655-4096
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Provider Business Mailing Address
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Address Line | 19 OLD COLONY DR
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City | WESTBOROUGH
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State | MA
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Zip | 01581-3411
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Country | US
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Telephone | 508-366-3784
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 105082
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License Number State | MA
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