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General NPI Number Information
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NPI Number | 1134833684
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Entity Type | Organization
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Legal Business Name | DAVID FREEDMAN PSYD PC
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Dates
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Enumeration Date | 01/10/2023
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Last Update Date | 01/10/2023
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Provider Practice Location Address
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Address Line | 200 E 17TH ST APT 1J
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City | BROOKLYN
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State | NY
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Zip | 11226-4636
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Country | US
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Telephone | 917-741-1479
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Fax |
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Provider Business Mailing Address
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Address Line | 200 E 17TH ST APT 1J
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City | BROOKLYN
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State | NY
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Zip | 11226-4636
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Country | US
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Telephone | 917-741-1479
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DAVID CRAIG FREEDMAN
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Credential | PSYD
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Telephone | 917-741-1479
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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