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General NPI Number Information
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NPI Number | 1801039342
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Entity Type | Individual
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Provider Name | DENNIS R FRIEDEL M.A., L.P.C
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Gender | Male
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Dates
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Enumeration Date | 04/14/2009
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Last Update Date | 04/14/2009
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Provider Practice Location Address
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Address Line | 314 N WINDOMERE AVE
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City | DALLAS
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State | TX
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Zip | 75208-5334
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Country | US
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Telephone | 214-458-0162
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Fax | 214-572-9748
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Provider Business Mailing Address
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Address Line | 314 NORTH WINDOMERE AVE
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City | DALLAS
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State | TX
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Zip | 75208
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Country | US
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Telephone | 214-458-0162
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Fax | 214-572-9748
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 10286
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License Number State | TX
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