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General NPI Number Information
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NPI Number | 1417078437
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Entity Type | Organization
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Legal Business Name | DR JULIE FREEDMAN DDS PA
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Dates
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Enumeration Date | 04/03/2007
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Last Update Date | 09/10/2010
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Provider Practice Location Address
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Address Line | 10978 PEMBROKE RD
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City | MIRAMAR
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State | FL
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Zip | 33025-6540
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Country | US
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Telephone | 954-438-3803
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Fax | 954-433-1885
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Provider Business Mailing Address
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Address Line | 10978 PEMBROKE RD
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City | MIRAMAR
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State | FL
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Zip | 33025-6540
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Country | US
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Telephone | 954-438-3803
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Fax | 954-433-1885
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Authorized Official
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Title or Position | INSURANCE CONSULTANT
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Name | MRS. LOURDES MIRABAL
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Credential |
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Telephone | 954-438-3803
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DN0014735
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License Number State | FL
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