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General NPI Number Information
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NPI Number | 1396831871
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Entity Type | Individual
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Provider Name | MICHAEL FREEDUS DDS
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Gender | Male
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Dates
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Enumeration Date | 10/04/2006
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 53 CHESTNUT STREET
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City | ONEONTA
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State | NY
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Zip | 13820
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Country | US
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Telephone | 607-432-3564
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Fax |
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Provider Business Mailing Address
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Address Line | 2535 LAKE ROAD
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City | DELANSON
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State | NY
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Zip | 12053
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Country | US
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Telephone | 518-864-5032
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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 | 1223P0106X
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Taxonomy Name | Oral and Maxillofacial Pathology Dentistry
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License Number | 028889
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License Number State | NY
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