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General NPI Number Information
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NPI Number | 1245368919
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Entity Type | Organization
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Legal Business Name | RABIN FREMED PRINCE PC
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Dates
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Enumeration Date | 03/02/2007
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Last Update Date | 04/23/2008
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Provider Practice Location Address
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Address Line | 700 PALISADE AVE
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City | ENGLEWOOD CLIFFS
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State | NJ
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Zip | 07632-3058
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Country | US
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Telephone | 201-568-3412
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Fax | 201-568-8249
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Provider Business Mailing Address
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Address Line | 700 PALISADE AVE
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City | ENGLEWOOD CLIFFS
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State | NJ
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Zip | 07632-3058
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Country | US
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Telephone | 201-568-3412
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Fax | 201-568-8249
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Authorized Official
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Title or Position | PARTNER-VICE PRESIDENT
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Name | DR. ERIC L FREMED
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Credential | M.D.
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Telephone | 201-568-3412
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 25MA04959200
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License Number State | NJ
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