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General NPI Number Information
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NPI Number | 1699005348
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Entity Type | Organization
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Legal Business Name | HERBERT BRETT FRIEDMAN DDS LLC DBA UNION DENTAL CENTER
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Dates
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Enumeration Date | 12/31/2009
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Last Update Date | 12/31/2009
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Provider Practice Location Address
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Address Line | 201 S UNION AVE
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City | HAVRE DE GRACE
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State | MD
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Zip | 21078-3223
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Country | US
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Telephone | 410-939-3950
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Fax | 410-939-3950
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Provider Business Mailing Address
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Address Line | 201 S UNION AVE
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City | HAVRE DE GRACE
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State | MD
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Zip | 21078-3223
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Country | US
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Telephone | 410-939-3950
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Fax | 410-939-3950
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Authorized Official
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Title or Position | OWNER/DENTIST
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Name | DR. HERBERT BRETT FRIEDMAN
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Credential | DDS
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Telephone | 410-939-3950
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 11802
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License Number State | MD
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