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General NPI Number Information
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NPI Number | 1689165854
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Entity Type | Individual
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Provider Name | DANIELLE FRIESON M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/23/2018
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Last Update Date | 06/29/2025
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Provider Practice Location Address
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Address Line | 1745 PEACHTREE ST NE STE U
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City | ATLANTA
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State | GA
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Zip | 30309-2479
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Country | US
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Telephone | 404-365-0966
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Fax | 601-815-4112
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Provider Business Mailing Address
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Address Line | 2500 N STATE ST
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City | JACKSON
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State | MS
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Zip | 39216-4500
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Country | US
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Telephone | 601-984-5338
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Fax | 601-815-4112
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 30276
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License Number State | MS
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Taxonomy #2
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Taxonomy Code | 207VM0101X
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Taxonomy Name | Maternal & Fetal Medicine Physician
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License Number | 104878
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License Number State | GA
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