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General NPI Number Information
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NPI Number | 1932289774
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Entity Type | Individual
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Provider Name | STEVEN W FRIEND MD
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Gender | Male
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Dates
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Enumeration Date | 10/16/2006
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 2708 MERCANTILE DR
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City | RANCHO CORDOVA
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State | CA
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Zip | 95742-6518
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Country | US
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Telephone | 916-469-9038
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2073
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City | GRANITE BAY
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State | CA
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Zip | 95746
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Country | US
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Telephone |
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Fax |
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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 | 2084P2900X
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Taxonomy Name | Pain Medicine (Psychiatry & Neurology) Physician
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License Number | A66207
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | A66207
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License Number State | CA
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