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General NPI Number Information
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NPI Number | 1255361507
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Entity Type | Organization
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Legal Business Name | MIRIAM J. FRIEDMAN, M.D., P.A.
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Dates
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Enumeration Date | 07/03/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 300 W BITTERS RD SUITE 130
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City | SAN ANTONIO
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State | TX
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Zip | 78216-1691
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Country | US
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Telephone | 210-385-4193
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Fax | 210-492-1380
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Provider Business Mailing Address
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Address Line | PO BOX 782325
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City | SAN ANTONIO
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State | TX
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Zip | 78278-2325
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Country | US
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Telephone | 210-385-4193
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Fax | 210-492-1380
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Authorized Official
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Title or Position | PHYSICIAN/OWNER
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Name | MIRIAM J FRIEDMAN
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Credential | M.D.
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Telephone | 210-385-4193
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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