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General NPI Number Information
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NPI Number | 1710594973
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Entity Type | Organization
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Legal Business Name | RODNEY A FRIEND MD PA
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Dates
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Enumeration Date | 09/30/2020
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Last Update Date | 11/08/2021
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Provider Practice Location Address
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Address Line | 7625 CITA LN UNIT 102
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City | NEW PORT RICHEY
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State | FL
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Zip | 34653-6218
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Country | US
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Telephone | 813-449-2861
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Fax |
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Provider Business Mailing Address
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Address Line | 7625 CITA LN UNIT 102
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City | NEW PORT RICHEY
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State | FL
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Zip | 34653-6218
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Country | US
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Telephone | 727-232-6296
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Fax | 272-255-5069
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Authorized Official
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Title or Position | OWNER/MANAGER
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Name | DR. RODNEY A FRIEND
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Credential | MD, MPH
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Telephone | 813-449-2861
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2083A0100X
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Taxonomy Name | Aerospace Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2083X0100X
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Taxonomy Name | Occupational Medicine Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 2083P0901X
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Taxonomy Name | Public Health & General Preventive Medicine Physician
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License Number |
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License Number State |
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