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General NPI Number Information
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NPI Number | 1629275219
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Entity Type | Individual
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Provider Name | JEREMY ZVI FRIEDMAN CNIM, D.C
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Gender | Male
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Dates
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Enumeration Date | 06/28/2007
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Last Update Date | 03/29/2011
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Provider Practice Location Address
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Address Line | 200 N VILLAGE AVE #B7
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City | ROCKVILLE CENTRE
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State | NY
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Zip | 11570-2341
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Country | US
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Telephone | 973-986-2763
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Fax |
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Provider Business Mailing Address
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Address Line | 200 N VILLAGE AVE #B7
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City | ROCKVILLE CENTRE
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State | NY
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Zip | 11570-2341
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Country | US
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Telephone | 973-986-2763
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Fax |
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 10670
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 246ZE0600X
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Taxonomy Name | Electroneurodiagnostic Specialist/Technologist
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License Number | 1828
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | X011484-1
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License Number State | NY
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