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General NPI Number Information
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NPI Number | 1750625968
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Entity Type | Individual
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Provider Name | MICHAEL DAVID FREEDMAN I M.D.,F.A.C.P.,F.C.P.
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Gender | Male
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Dates
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Enumeration Date | 11/15/2012
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Last Update Date | 11/15/2012
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Provider Practice Location Address
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Address Line | 4730 WAINWRIGHT CIR
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City | OWINGS MILLS
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State | MD
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Zip | 21117-5832
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Country | US
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Telephone | 410-363-3355
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Fax |
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Provider Business Mailing Address
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Address Line | 4730 WAINWRIGHT CIR
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City | OWINGS MILLS
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State | MD
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Zip | 21117-5832
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Country | US
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Telephone | 410-363-3355
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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 | 174H00000X
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Taxonomy Name | Health Educator
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License Number | D0043798
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 208U00000X
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Taxonomy Name | Clinical Pharmacology Physician
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License Number | D0043798
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License Number State | MD
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