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General NPI Number Information
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NPI Number | 1679696827
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Entity Type | Organization
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Legal Business Name | DR. Z. B. FRIEDENBERG ORTH SURGERY PC
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Dates
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Enumeration Date | 04/10/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 51 N 39TH ST 1ST FLOOR CUPP BUILDING
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City | PHILADELPHIA
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State | PA
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Zip | 19104-2640
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Country | US
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Telephone | 215-386-4990
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Fax | 215-662-5978
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Provider Business Mailing Address
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Address Line | 51 N 39TH ST 1ST FLOOR CUPP BUILDING
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City | PHILADELPHIA
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State | PA
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Zip | 19104-2640
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Country | US
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Telephone | 215-386-4990
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Fax | 215-662-5978
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ZACHARY BERT FRIEDENBERG
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Credential | M.D.
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Telephone | 215-386-4990
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | MD002704E
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License Number State | PA
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