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General NPI Number Information
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NPI Number | 1831788918
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Entity Type | Organization
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Legal Business Name | FRIEDMAN CHIROPRACTIC PLLC
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Dates
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Enumeration Date | 01/13/2021
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Last Update Date | 01/15/2021
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Provider Practice Location Address
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Address Line | 11511 CANTERWOOD BLVD. NW SUITE #210
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City | GIG HARBOR
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State | WA
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Zip | 98332-5818
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Country | US
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Telephone | 253-432-4451
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Fax |
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Provider Business Mailing Address
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Address Line | 17007 SE 261ST ST
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City | COVINGTON
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State | WA
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Zip | 98042-8373
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Country | US
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Telephone | 253-278-8549
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Fax |
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Authorized Official
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Title or Position | OWNER/CHIROPRACTOR
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Name | DR. JACOB FRIEDMAN
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Credential | DC
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Telephone | 253-432-4451
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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