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General NPI Number Information
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NPI Number | 1851088751
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Entity Type | Organization
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Legal Business Name | THE FRIEND AGENCY
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Dates
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Enumeration Date | 04/20/2023
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Last Update Date | 04/20/2023
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Provider Practice Location Address
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Address Line | 4130 LINDEN AVE STE 330
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City | DAYTON
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State | OH
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Zip | 45432-3034
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Country | US
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Telephone | 937-641-1084
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Fax |
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Provider Business Mailing Address
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Address Line | 2616 WHEELER AVE
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City | DAYTON
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State | OH
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Zip | 45406-1636
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Country | US
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Telephone | 937-856-9372
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | JASON SCHWARCK
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Credential |
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Telephone | 937-856-9372
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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