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General NPI Number Information
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NPI Number | 1962231191
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Entity Type | Organization
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Legal Business Name | FRIEDMAN PSYCHOLOGY
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Dates
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Enumeration Date | 07/27/2024
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Last Update Date | 07/27/2024
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Provider Practice Location Address
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Address Line | 1240 MEADOW RD STE 200B
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City | NORTHBROOK
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State | IL
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Zip | 60062-8300
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Country | US
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Telephone | 847-920-8498
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Fax |
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Provider Business Mailing Address
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Address Line | 1240 MEADOW RD STE 200B
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City | NORTHBROOK
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State | IL
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Zip | 60062-8300
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Country | US
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Telephone | 847-920-8498
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Fax |
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Authorized Official
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Title or Position | OWNER OF PRACTICE
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Name | ALEXANDER FRIEDMAN
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Credential | PSYD
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Telephone | 847-920-8498
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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