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General NPI Number Information
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NPI Number | 1609949957
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Entity Type | Organization
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Legal Business Name | FRIEDMAN & GREENHUT DPM PA
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Dates
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Enumeration Date | 11/16/2006
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Last Update Date | 12/18/2008
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Provider Practice Location Address
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Address Line | 542067 US HIGHWAY 1
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City | CALLAHAN
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State | FL
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Zip | 32011-8110
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Country | US
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Telephone | 904-879-2552
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Fax | 904-879-6360
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Provider Business Mailing Address
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Address Line | 542067 US HIGHWAY 1 P.O. BOX 1578
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City | CALLAHAN
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State | FL
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Zip | 32011-8110
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Country | US
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Telephone | 904-879-2552
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Fax | 904-879-6360
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MARY EUNICE ROWELL
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Credential |
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Telephone | 904-879-2552
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number |
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License Number State |
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