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General NPI Number Information
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NPI Number | 1487622692
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Entity Type | Individual
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Provider Name | ALBERT DELLOYD FRIDAY JR. MD, FACEP, FAAEM
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Gender | Male
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Dates
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Enumeration Date | 03/14/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1400-B GRAHAM DRIVE SUITE 511
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City | TOMBALL
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State | TX
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Zip | 77375-4546
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Country | US
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Telephone | 281-356-2871
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Fax | 281-356-2871
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Provider Business Mailing Address
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Address Line | PO BOX 833
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City | TOMBALL
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State | TX
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Zip | 77377-0833
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Country | US
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Telephone | 281-356-2871
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Fax | 281-356-2871
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | E6029
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License Number State | TX
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