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General NPI Number Information
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NPI Number | 1760557201
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Entity Type | Organization
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Legal Business Name | E. GLENN FRIEDMAN, D.O., P.C.
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Dates
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Enumeration Date | 11/21/2006
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Last Update Date | 03/21/2016
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Provider Practice Location Address
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Address Line | 1900 E MARKET ST
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City | YORK
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State | PA
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Zip | 17402-2890
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Country | US
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Telephone | 717-755-0633
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Fax | 717-755-8774
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Provider Business Mailing Address
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Address Line | 1900 E MARKET ST
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City | YORK
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State | PA
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Zip | 17402-2890
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Country | US
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Telephone | 717-755-0633
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Fax | 717-755-8774
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | MRS. DARIA ANN ARIAS
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Credential |
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Telephone | 71717550633
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | OS-003931-L
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License Number State | PA
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