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General NPI Number Information
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NPI Number | 1487216511
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Entity Type | Individual
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Provider Name | ARDEN FREEDMAN DC
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Gender | Male
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Dates
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Enumeration Date | 06/28/2019
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Last Update Date | 10/21/2024
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Provider Practice Location Address
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Address Line | 950 DANBY RD STE 316
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City | ITHACA
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State | NY
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Zip | 14850-5731
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Country | US
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Telephone | 607-391-0102
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Fax |
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Provider Business Mailing Address
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Address Line | 1391 ELLIS HOLLOW RD
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City | ITHACA
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State | NY
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Zip | 14850-9601
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Country | US
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Telephone | 607-342-5520
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Fax |
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | X013823
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License Number State | NY
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