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General NPI Number Information
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NPI Number | 1336339134
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Entity Type | Organization
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Legal Business Name | FRIEDMAN FAMILY CHIROPRACTIC, INC.
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Dates
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Enumeration Date | 07/27/2007
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Last Update Date | 12/20/2010
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Provider Practice Location Address
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Address Line | 1620 VICTORY BLVD
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City | GLENDALE
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State | CA
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Zip | 91201-2915
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Country | US
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Telephone | 818-244-7600
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Fax | 818-244-6400
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Provider Business Mailing Address
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Address Line | 1620 VICTORY BLVD
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City | GLENDALE
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State | CA
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Zip | 91201-2915
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Country | US
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Telephone | 818-244-7600
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Fax | 818-244-6400
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Authorized Official
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Title or Position | CHIROPRACTOR/CEO
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Name | DR. HOWARD M. FRIEDMAN
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Credential | DC
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Telephone | 818-244-7600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | DC19786 CHIROPRACTOR
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License Number State | CA
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