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General NPI Number Information
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NPI Number | 1033105770
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Entity Type | Organization
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Legal Business Name | ALAN R FREEDMAN DC PA
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Dates
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Enumeration Date | 09/27/2005
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Last Update Date | 09/10/2019
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Provider Practice Location Address
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Address Line | 190 S UNIVERSITY DR
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City | PEMBROKE PINES
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State | FL
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Zip | 33025-2234
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Country | US
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Telephone | 954-433-0300
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Fax | 954-433-8268
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Provider Business Mailing Address
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Address Line | 190 S UNIVERSITY DR
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City | PEMBROKE PINES
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State | FL
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Zip | 33025-2234
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Country | US
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Telephone | 954-433-0300
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Fax | 954-433-8268
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | DR. ALAN ROBERT FREEDMAN
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Credential | DC
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Telephone | 954-433-0300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CH0006528
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License Number State | FL
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