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General NPI Number Information
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NPI Number | 1194729897
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Entity Type | Individual
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Provider Name | ELLEN M. FRIEDMAN M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/09/2005
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Last Update Date | 02/05/2010
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Provider Practice Location Address
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Address Line | 6701 FANNIN ST STE 540
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City | HOUSTON
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State | TX
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Zip | 77030-2316
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Country | US
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Telephone | 832-822-3250
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Fax | 832-825-3396
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Provider Business Mailing Address
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Address Line | 6550 FANNIN ST
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City | HOUSTON
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State | TX
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Zip | 77030-2717
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Country | US
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Telephone | 713-798-5900
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Fax | 713-798-5294
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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 | 207YP0228X
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Taxonomy Name | Pediatric Otolaryngology Physician
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License Number | J0492
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | J0492
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License Number State | TX
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