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General NPI Number Information
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NPI Number | 1073646873
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Entity Type | Individual
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Provider Name | PERRY FRYDMAN DDS
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Gender | Male
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Dates
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Enumeration Date | 03/13/2007
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Last Update Date | 05/17/2016
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Provider Practice Location Address
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Address Line | 965 HOPE ST SUITE 102
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City | STAMFORD
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State | CT
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Zip | 06907-2228
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Country | US
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Telephone | 203-323-5905
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Fax | 203-323-9285
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Provider Business Mailing Address
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Address Line | 22 KNAPP ST STE 301
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City | STAMFORD
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State | CT
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Zip | 06907-1741
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Country | US
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Telephone | 203-323-5905
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Fax | 203-323-9285
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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 | 6790
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License Number State | CT
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