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General NPI Number Information
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NPI Number | 1003086661
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Entity Type | Organization
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Legal Business Name | HARVEY A FREEDMAN DPM PC
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Dates
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Enumeration Date | 03/10/2008
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Last Update Date | 03/17/2008
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Provider Practice Location Address
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Address Line | 279 SMITHTOWN BLVD
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City | NESCONSET
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State | NY
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Zip | 11767-2043
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Country | US
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Telephone | 631-467-7600
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Fax | 631-467-0945
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Provider Business Mailing Address
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Address Line | 276 SMITHTOWN BLVD
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City | NESCONSET
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State | NY
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Zip | 11767-2043
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Country | US
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Telephone | 631-467-7600
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Fax | 631-467-0945
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MITCHELL A KOHAN
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Credential | DPM
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Telephone | 631-467-7600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number |
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License Number State |
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