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General NPI Number Information
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NPI Number | 1881074128
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Entity Type | Individual
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Provider Name | HEATHER FRIEDEMAN CNP
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Gender | Female
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Dates
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Enumeration Date | 06/02/2015
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Last Update Date | 06/02/2015
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Provider Practice Location Address
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Address Line | 3260 HENDERSON RD STE. 100
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City | COLUMBUS
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State | OH
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Zip | 43220-4388
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Country | US
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Telephone | 614-545-2002
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Fax | 614-545-7546
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Provider Business Mailing Address
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Address Line | 3260 HENDERSON RD STE. 100
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City | COLUMBUS
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State | OH
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Zip | 43220-4388
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Country | US
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Telephone | 614-545-2002
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Fax | 614-545-7546
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | COA.17351-NP
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License Number State | OH
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