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General NPI Number Information
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NPI Number | 1487940342
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Entity Type | Organization
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Legal Business Name | HOWARD FRIESEN MD INC
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Dates
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Enumeration Date | 06/20/2011
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Last Update Date | 08/23/2011
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Provider Practice Location Address
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Address Line | 1130 A ST
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City | ANTIOCH
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State | CA
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Zip | 94509-2356
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Country | US
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Telephone | 925-757-2250
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Fax | 925-753-1397
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Provider Business Mailing Address
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Address Line | 1130 A ST
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City | ANTIOCH
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State | CA
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Zip | 94509-2356
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Country | US
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Telephone | 925-757-2250
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Fax | 925-753-1397
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Authorized Official
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Title or Position | MD
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Name | HOWARD FRIESEN
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Credential | MD
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Telephone | 925-757-2250
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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