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General NPI Number Information
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NPI Number | 1457562142
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Entity Type | Organization
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Legal Business Name | TERRY S FRIEDMAN PA
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Dates
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Enumeration Date | 05/24/2007
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Last Update Date | 02/18/2009
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Provider Practice Location Address
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Address Line | 9350 SW 72ND ST SUITE 119
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City | MIAMI
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State | FL
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Zip | 33173-3245
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Country | US
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Telephone | 305-274-5070
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Fax | 305-274-2621
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Provider Business Mailing Address
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Address Line | 9350 SW 72ND ST SUITE 119
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City | MIAMI
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State | FL
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Zip | 33173-3245
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Country | US
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Telephone | 305-274-5070
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Fax | 305-274-2621
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Authorized Official
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Title or Position | PRESIDENT
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Name | TERRY SETH FRIEDMAN
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Credential | OD
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Telephone | 305-274-5070
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OPC1804
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License Number State | FL
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