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General NPI Number Information
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NPI Number | 1306348032
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Entity Type | Organization
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Legal Business Name | DUNCAN A FRIEDMAN MD PA
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Dates
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Enumeration Date | 03/08/2018
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Last Update Date | 09/24/2020
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Provider Practice Location Address
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Address Line | 1100 N MAIN AVE
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City | SAN ANTONIO
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State | TX
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Zip | 78212-4712
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Country | US
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Telephone | 210-222-2154
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Fax | 210-227-6056
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Provider Business Mailing Address
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Address Line | 1100 N MAIN AVE
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City | SAN ANTONIO
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State | TX
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Zip | 78212-4712
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Country | US
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Telephone | 210-222-2154
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Fax | 210-227-6056
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | DR. DUNCAN AESCTUN FRIEDMAN
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Credential | MD
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Telephone | 210-222-2154
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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 | P5275
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207WX0107X
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Taxonomy Name | Retina Specialist (Ophthalmology) Physician
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License Number | P5275
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License Number State | TX
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