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General NPI Number Information
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NPI Number | 1477532802
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Entity Type | Individual
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Provider Name | JEFFREY FRIEDMAN D.O.
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Gender | Male
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Dates
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Enumeration Date | 01/13/2006
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Last Update Date | 05/02/2016
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Provider Practice Location Address
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Address Line | 205 E LAUREL RD 1ST FLOOR
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City | STRATFORD
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State | NJ
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Zip | 08084-1301
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Country | US
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Telephone | 856-783-0870
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Fax | 856-783-0649
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Provider Business Mailing Address
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Address Line | 333 LAUREL OAK RD
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City | VOORHEES
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State | NJ
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Zip | 08043-4453
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Country | US
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Telephone | 856-344-7360
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Fax | 856-783-1403
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 25MB05920500
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License Number State | NJ
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