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General NPI Number Information
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NPI Number | 1467886739
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Entity Type | Organization
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Legal Business Name | ALAN R FRIEDMAN MD PC
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Dates
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Enumeration Date | 08/22/2013
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Last Update Date | 08/22/2013
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Provider Practice Location Address
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Address Line | 2675 N DECATUR RD SUITE 609
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City | DECATUR
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State | GA
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Zip | 30033-6131
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Country | US
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Telephone | 404-501-9170
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Fax | 404-974-2691
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Provider Business Mailing Address
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Address Line | 2675 N DECATUR RD SUITE 609
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City | DECATUR
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State | GA
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Zip | 30033-6131
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Country | US
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Telephone | 404-501-9170
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Fax | 404-974-2691
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Authorized Official
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Title or Position | CEO
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Name | DR. ALAN R FRIEDMAN
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Credential | M.D.
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Telephone | 404-501-9170
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 58760
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License Number State | GA
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