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General NPI Number Information
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NPI Number | 1780647271
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Entity Type | Organization
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Legal Business Name | JOYCE B FRIED
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Dates
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Enumeration Date | 04/07/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 35104 EUCLID AVENUE #102
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City | WILLOUGHBY
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State | OH
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Zip | 44094-4565
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Country | US
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Telephone | 440-946-0260
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Fax | 440-946-4010
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Provider Business Mailing Address
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Address Line | 35104 EUCLID AVE #102
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City | WILLOUGHBY
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State | OH
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Zip | 44094-4565
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Country | US
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Telephone | 440-946-0260
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Fax | 440-946-4010
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Authorized Official
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Title or Position | OWNER MANAGER
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Name | JOYCE B FRIED
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Credential |
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Telephone | 440-946-0260
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | 7655
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number | A0720
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License Number State | OH
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