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General NPI Number Information
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NPI Number | 1922338417
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Entity Type | Individual
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Provider Name | HEATHER LYNN FRIEDMAN LPC
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Gender | Female
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Dates
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Enumeration Date | 01/05/2010
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Last Update Date | 08/21/2015
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Provider Practice Location Address
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Address Line | 13460 N 94TH DR K-3
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City | PEORIA
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State | AZ
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Zip | 85381-4835
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Country | US
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Telephone | 623-974-3333
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Fax | 623-974-3390
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Provider Business Mailing Address
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Address Line | 30010 N 128TH AVE
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City | PEORIA
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State | AZ
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Zip | 85383-3403
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Country | US
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Telephone | 623-687-8310
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Fax | 602-234-2639
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 15144
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License Number State | AZ
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