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General NPI Number Information
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NPI Number | 1295809705
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Entity Type | Individual
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Provider Name | STEVEN T. FRIED M.D.
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Gender | Male
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Dates
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Enumeration Date | 11/17/2006
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Last Update Date | 03/04/2021
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Provider Practice Location Address
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Address Line | HENRY FORD HEALTH SYSTEM 40000 WEST EIGHT MILE ROAD
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City | NORTHVILLE
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State | MI
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Zip | 48167
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Country | US
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Telephone | 248-380-6200
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Fax |
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Provider Business Mailing Address
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Address Line | HENRY FORD HEALTH SYSTEM 40000 WEST EIGHT MILE ROAD
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City | NORTHVILLE
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State | MI
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Zip | 48167
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Country | US
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Telephone | 248-380-6200
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Fax |
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 4301083049
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License Number State | MI
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