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NPI 1396840815

NPI 1396840815 : CALVIN A. FREEDMAN RPH : NEWARK, DE

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General NPI Number Information
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    NPI Number           |    1396840815
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    Entity Type          |    Individual 
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    Provider Name        |    CALVIN A. FREEDMAN RPH
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    09/13/2006
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    31 ALBE DR 
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    City                 |    NEWARK
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    State                |    DE
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    Zip                  |    19702-1360
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    Country              |    US
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    Telephone            |    302-369-5520
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    Fax                  |    302-369-5853
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Provider Business Mailing Address
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    Address Line         |    302 LARK DR 
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    City                 |    NEWARK
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    State                |    DE
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    Zip                  |    19713-1216
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    Country              |    US
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    Telephone            |    302-368-8192
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    Fax                  |    302-368-4877
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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        |    183500000X
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    Taxonomy Name        |    Pharmacist
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    License Number       |    A1-0001537
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    License Number State |    DE
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