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NPI 1760419659

NPI 1760419659 : TERRY D FRIEDMAN MD : CHERRY HILL, NJ

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General NPI Number Information
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    NPI Number           |    1760419659
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    Entity Type          |    Individual 
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    Provider Name        |    TERRY D FRIEDMAN MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    06/27/2006
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    Last Update Date     |    10/01/2012
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Provider Practice Location Address
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    Address Line         |    1400 ROUTE 70 E 
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    City                 |    CHERRY HILL
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    State                |    NJ
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    Zip                  |    08034-2230
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    Country              |    US
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    Telephone            |    856-216-0300
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    Fax                  |    856-216-7142
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Provider Business Mailing Address
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    Address Line         |    1400 ROUTE 70 E 
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    City                 |    CHERRY HILL
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    State                |    NJ
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    Zip                  |    08034-2230
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    Country              |    US
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    Telephone            |    856-216-0300
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    Fax                  |    856-216-7142
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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        |    207UN0901X
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    Taxonomy Name        |    Nuclear Cardiology Physician
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    License Number       |    MD020895E
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    License Number State |    PA
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