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General NPI Number Information
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NPI Number | 1992143473
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Entity Type | Organization
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Legal Business Name | FRIEDMAN FAMILY THERAPY, LLC
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Dates
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Enumeration Date | 06/06/2013
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Last Update Date | 06/06/2013
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Provider Practice Location Address
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Address Line | 20801 BISCAYNE BLVD SUITE 403
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City | AVENTURA
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State | FL
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Zip | 33180-1430
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Country | US
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Telephone | 305-932-0016
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Fax | 305-932-1262
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Provider Business Mailing Address
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Address Line | 1800 S OCEAN DR APT 1904
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City | HALLANDALE BEACH
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State | FL
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Zip | 33009-7734
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Country | US
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Telephone | 786-519-2406
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JEFFREY M FRIEDMAN
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Credential | LCSW
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Telephone | 305-932-0016
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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