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General NPI Number Information
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NPI Number | 1417973785
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Entity Type | Individual
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Provider Name | SAMUEL DAVID FRIEDEL M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/13/2006
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Last Update Date | 11/26/2007
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Provider Practice Location Address
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Address Line | 827 LINDEN AVE
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City | BALTIMORE
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State | MD
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Zip | 21201-4606
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Country | US
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Telephone | 410-225-8077
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Fax | 410-225-8785
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Provider Business Mailing Address
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Address Line | 8 HAMBLETON CT
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City | BALTIMORE
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State | MD
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Zip | 21208-3309
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Country | US
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Telephone | 410-225-8077
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Fax | 410-225-8785
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | D0020950
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License Number State | MD
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