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General NPI Number Information
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NPI Number | 1780911156
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Entity Type | Organization
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Legal Business Name | DAVID L. FRIEDMAN A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 11/05/2009
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Last Update Date | 11/05/2009
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Provider Practice Location Address
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Address Line | 5769 UPLANDER WAY
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City | CULVER CITY
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State | CA
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Zip | 90230-6605
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Country | US
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Telephone | 310-337-9800
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Fax | 310-337-0400
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Provider Business Mailing Address
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Address Line | 5769 UPLANDER WAY
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City | CULVER CITY
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State | CA
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Zip | 90230-6605
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Country | US
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Telephone | 310-337-9800
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Fax | 310-337-0400
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | DR. DAVID LEONARD FRIEDMAN
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Credential | M.D.PH.D.
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Telephone | 310-337-9800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | G32221
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License Number State | CA
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