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General NPI Number Information
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NPI Number | 1336643303
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Entity Type | Organization
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Legal Business Name | APRIL L FREDIAN
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Dates
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Enumeration Date | 03/22/2018
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Last Update Date | 03/22/2018
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Provider Practice Location Address
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Address Line | 450 PARK ST STE 100B
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City | ALAMEDA
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State | CA
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Zip | 94501-6257
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Country | US
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Telephone | 510-992-3104
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Fax | 510-227-6890
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Provider Business Mailing Address
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Address Line | 450 PARK ST STE 100B
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City | ALAMEDA
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State | CA
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Zip | 94501-6257
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Country | US
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Telephone | 510-992-3104
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Fax | 510-227-6890
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Authorized Official
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Title or Position | MD/OWNER
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Name | APRIL FREDIAN
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Credential | MD
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Telephone | 510-992-3104
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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 | A108550
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License Number State | CA
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