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General NPI Number Information
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NPI Number | 1235427220
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Entity Type | Individual
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Provider Name | JEFFREY MATHEW FRIEDMAN M.D., PH.D.
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Gender | Male
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Dates
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Enumeration Date | 07/12/2011
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Last Update Date | 09/13/2019
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Provider Practice Location Address
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Address Line | 225 BIG STATION CAMP BLVD STE 104
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City | GALLATIN
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State | TN
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Zip | 37066
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Country | US
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Telephone | 615-328-6170
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Fax | 615-328-6187
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Provider Business Mailing Address
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Address Line | 2004 HAYES ST STE 800
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City | NASHVILLE
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State | TN
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Zip | 37203-2659
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Country | US
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Telephone | 615-329-0570
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Fax | 615-329-0579
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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 | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | 54399
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License Number State | TN
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