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General NPI Number Information
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NPI Number | 1508988528
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Entity Type | Individual
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Provider Name | WILLIAM FRIEDMAN O.D.
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Gender | Male
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Dates
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Enumeration Date | 04/03/2007
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Last Update Date | 05/31/2017
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Provider Practice Location Address
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Address Line | 1238 SMALLWOOD DR W
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City | WALDORF
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State | MD
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Zip | 20603-4732
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Country | US
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Telephone | 301-932-4390
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Fax | 301-932-8660
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Provider Business Mailing Address
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Address Line | 1282 SMALLWOOD DR W #226
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City | WALDORF
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State | MD
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Zip | 20603-4732
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Country | US
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Telephone | 301-932-4390
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Fax | 301-932-8660
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | TAO765
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License Number State | MD
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