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General NPI Number Information
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NPI Number | 1790017713
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Entity Type | Organization
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Legal Business Name | MICHAEL A. FREEDMAN, D.O., INC
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Dates
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Enumeration Date | 02/01/2010
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Last Update Date | 02/04/2010
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Provider Practice Location Address
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Address Line | 3051 GRAHAM RD
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City | STOW
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State | OH
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Zip | 44224-3654
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Country | US
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Telephone | 330-673-1669
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Fax | 330-673-8185
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Provider Business Mailing Address
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Address Line | 3051 GRAHAM RD
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City | STOW
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State | OH
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Zip | 44224-3654
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Country | US
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Telephone | 330-673-1669
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Fax | 330-673-8185
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. MICHAEL A. FREEDMAN
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Credential | D.O.
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Telephone | 330-673-1669
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 34005144F
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License Number State | OH
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