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General NPI Number Information
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NPI Number | 1831338680
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Entity Type | Organization
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Legal Business Name | HUMOR DENTAL GROUP OF DR. LAUREN R. FRIEDMAN, DDS
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Dates
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Enumeration Date | 02/17/2009
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Last Update Date | 02/17/2009
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Provider Practice Location Address
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Address Line | 2355 WESTWOOD BLVD # 718
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City | LOS ANGELES
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State | CA
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Zip | 90064-2109
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Country | US
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Telephone | 310-418-7788
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Fax | 800-801-8730
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Provider Business Mailing Address
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Address Line | 2355 WESTWOOD BLVD # 718
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City | LOS ANGELES
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State | CA
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Zip | 90064-2109
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Country | US
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Telephone | 310-418-7788
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Fax | 800-801-8730
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Authorized Official
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Title or Position | OWNER
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Name | DR. LAUREN R FRIEDMAN
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Credential | D,D.S.
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Telephone | 310-418-7788
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 26639
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License Number State | CA
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