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General NPI Number Information
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NPI Number | 1336210707
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Entity Type | Individual
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Provider Name | GARY FREEDMAN, M.D. GARY FREEDMAN, M.D.
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Gender | Male
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Dates
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Enumeration Date | 11/10/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | MITZPE NETOFA 1137
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City | D.N. LOWER GALILEE
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State | GALIL
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Zip | 15295
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Country | IL
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Telephone | 046789215
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Fax |
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Provider Business Mailing Address
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Address Line | 3530 LAS PASAS WAY
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City | SACRAMENTO
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State | CA
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Zip | 95864-2820
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Country | US
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Telephone | 818-435-4751
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | A41220
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License Number State | CA
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