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General NPI Number Information
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NPI Number | 1225540248
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Entity Type | Organization
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Legal Business Name | MARK BRIAN FRIEDMAN, DPM, PLLC
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Dates
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Enumeration Date | 10/31/2017
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Last Update Date | 10/31/2017
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Provider Practice Location Address
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Address Line | 6 EXECUTIVE PARK DR
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City | ALBANY
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State | NY
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Zip | 12203-3791
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Country | US
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Telephone | 518-482-4321
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Fax | 518-482-4321
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Provider Business Mailing Address
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Address Line | PO BOX 125
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City | SLINGERLANDS
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State | NY
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Zip | 12159-0125
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Country | US
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Telephone | 518-482-4321
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Fax | 518-482-4664
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Authorized Official
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Title or Position | OWNER
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Name | DR. MARK BRIAN FRIEDMAN
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Credential | DPM
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Telephone | 518-482-4321
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number |
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License Number State |
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