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General NPI Number Information
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NPI Number | 1447311261
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Entity Type | Individual
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Provider Name | JOHN A FRIEDLINE MD
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Gender | Male
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Dates
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Enumeration Date | 12/13/2006
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Last Update Date | 07/29/2025
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Provider Practice Location Address
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Address Line | 1550 PEPPER DR
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City | EL CENTRO
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State | CA
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Zip | 92243-4165
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Country | US
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Telephone | 760-312-5900
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Fax | 866-493-3117
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Provider Business Mailing Address
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Address Line | 125 S 5TH ST
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City | BRAWLEY
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State | CA
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Zip | 92227-2408
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Country | US
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Telephone | 760-344-8100
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Fax | 760-545-0243
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD00036871
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | G146705
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License Number State | CA
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