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General NPI Number Information
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NPI Number | 1831637792
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Entity Type | Organization
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Legal Business Name | FREEDMAN ORTHODONTICS
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Dates
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Enumeration Date | 02/10/2017
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Last Update Date | 02/10/2017
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Provider Practice Location Address
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Address Line | 5488 CHAMBLEE DUNWOODY RD STE 8
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City | DUNWOODY
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State | GA
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Zip | 30338-4161
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Country | US
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Telephone | 678-745-5388
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Fax | 678-745-5389
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Provider Business Mailing Address
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Address Line | 9870 AUTRY FALLS DR
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City | JOHNS CREEK
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State | GA
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Zip | 30022-8007
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Country | US
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Telephone | 404-427-4126
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. BRET FREEDMAN
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Credential | DMD
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Telephone | 404-427-4126
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | DN013786
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License Number State | GA
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