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General NPI Number Information
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NPI Number | 1730138926
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Entity Type | Individual
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Provider Name | ROTEM FRIEDE MD
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Gender | Female
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Dates
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Enumeration Date | 05/08/2006
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Last Update Date | 03/14/2008
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Provider Practice Location Address
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Address Line | 501 SOUTH 54TH STREET
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City | PHILADELPHIA
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State | PA
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Zip | 19143-1900
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Country | US
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Telephone | 215-748-9000
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Fax |
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Provider Business Mailing Address
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Address Line | DEPT 4931
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City | CAROL STREAM
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State | IL
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Zip | 60122-4931
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Country | US
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Telephone | 866-540-5303
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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 | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | MD421881
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License Number State | PA
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