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General NPI Number Information
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NPI Number | 1194989061
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Entity Type | Organization
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Legal Business Name | ALAN M FRIEDMAN DDS A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 07/10/2008
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Last Update Date | 07/10/2008
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Provider Practice Location Address
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Address Line | 1990 WESTWOOD BLVD SUITE 250
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City | LOS ANGELES
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State | CA
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Zip | 90025-8411
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Country | US
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Telephone | 310-477-8043
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Fax | 310-474-5702
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Provider Business Mailing Address
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Address Line | 1990 WESTWOOD BLVD SUITE 250
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City | LOS ANGELES
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State | CA
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Zip | 90025-8411
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Country | US
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Telephone | 310-477-8043
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Fax | 310-474-5702
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ALAN M FRIEDMAN
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Credential | DDS
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Telephone | 310-477-8043
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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 | 20859
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License Number State | CA
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