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General NPI Number Information
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NPI Number | 1346518644
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Entity Type | Organization
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Legal Business Name | JEFFREY S FRIELING MD PC
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Dates
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Enumeration Date | 12/01/2011
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Last Update Date | 12/01/2011
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Provider Practice Location Address
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Address Line | 9016 ROCKAWAY BEACH BLVD
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City | ROCKAWAY BEACH
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State | NY
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Zip | 11693-1530
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Country | US
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Telephone | 718-318-1155
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Fax | 516-284-7164
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Provider Business Mailing Address
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Address Line | 10 AUERBACH LN
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City | LAWRENCE
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State | NY
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Zip | 11559-2517
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Country | US
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Telephone | 516-284-7164
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Fax | 516-284-7164
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. SHARON EDERSON
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Credential |
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Telephone | 516-295-3862
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 172713-1
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License Number State | NY
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