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General NPI Number Information
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NPI Number | 1962834903
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Entity Type | Organization
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Legal Business Name | RICHARD C FRIEDMAN LCSW PLLC
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Dates
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Enumeration Date | 08/01/2013
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Last Update Date | 08/07/2013
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Provider Practice Location Address
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Address Line | 160 ALLENS CREEK RD
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City | ROCHESTER
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State | NY
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Zip | 14618-3309
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Country | US
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Telephone | 585-271-2775
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Fax |
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Provider Business Mailing Address
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Address Line | 160 ALLENS CREEK RD
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City | ROCHESTER
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State | NY
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Zip | 14618-3309
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Country | US
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Telephone | 585-271-2775
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Fax | 585-271-8916
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Authorized Official
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Title or Position | LCSW
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Name | MR. RICHARD C FRIEDMAN
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Credential | LCSW
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Telephone | 585-271-2775
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number | R022609
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License Number State | NY
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