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General NPI Number Information
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NPI Number | 1821194614
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Entity Type | Organization
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Legal Business Name | DAVID JAY FRIEDMAN, MD, PC
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Dates
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Enumeration Date | 09/16/2006
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Last Update Date | 02/22/2010
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Provider Practice Location Address
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Address Line | 630 PARK AVENUE
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City | NEW YORK
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State | NY
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Zip | 10065
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Country | US
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Telephone | 212-439-1600
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Fax | 212-439-6269
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Provider Business Mailing Address
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Address Line | 630 PARK AVENUE
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City | NEW YORK
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State | NY
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Zip | 10065
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Country | US
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Telephone | 212-439-1600
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Fax | 212-439-6269
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DAVID J FRIEDMAN
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Credential | MD
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Telephone | 212-439-1600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0122X
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Taxonomy Name | Plastic and Reconstructive Surgery Physician
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License Number | 180706
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License Number State | NY
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