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General NPI Number Information
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NPI Number | 1619033081
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Entity Type | Organization
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Legal Business Name | CHARLESTON ORTHOPAEDIC ASSOCIATE
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Dates
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Enumeration Date | 12/29/2006
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Last Update Date | 05/16/2008
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Provider Practice Location Address
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Address Line | 1012 PHYSICIANS DR
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City | CHARLESTON
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State | SC
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Zip | 29414-5719
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Country | US
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Telephone | 843-769-2000
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Fax | 843-769-2260
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Provider Business Mailing Address
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Address Line | 1012 PHYSICIANS DR
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City | CHARLESTON
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State | SC
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Zip | 29414-5719
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Country | US
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Telephone | 843-769-2000
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Fax | 843-769-2260
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RICHARD JOEL FRIEDMAN
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Credential | MD
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Telephone | 843-769-2000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 012693
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License Number State | SC
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