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General NPI Number Information
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NPI Number | 1003136086
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Entity Type | Individual
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Provider Name | JOEL HOWARD FREEDENBERG D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 06/02/2010
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Last Update Date | 06/02/2010
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Provider Practice Location Address
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Address Line | 5005 SIGNAL BELL LN #101
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City | CLARKSVILLE
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State | MD
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Zip | 21029-2606
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Country | US
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Telephone | 443-535-8940
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Fax |
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Provider Business Mailing Address
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Address Line | 17706 GLOBE THEATRE DR
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City | OLNEY
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State | MD
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Zip | 20832-1675
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Country | US
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Telephone | 301-570-5498
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Fax | 301-570-1716
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 7973
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License Number State | MD
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