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General NPI Number Information
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NPI Number | 1841306651
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Entity Type | Individual
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Provider Name | ERNEST L FRIERSON MD
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Gender | Male
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Dates
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Enumeration Date | 08/22/2006
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Last Update Date | 03/12/2014
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Provider Practice Location Address
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Address Line | 8950 DR. MARTIN LUTHER KING JR. STREET NORTH #180
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City | ST. PETERSBURG
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State | FL
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Zip | 33702-3001
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Country | US
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Telephone | 727-576-8900
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Fax | 727-570-9045
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Provider Business Mailing Address
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Address Line | 10051 5TH STREET NORTH #200
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City | ST. PETERSBURG
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State | FL
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Zip | 33702-3001
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Country | US
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Telephone | 727-824-0780
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Fax | 727-568-6011
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | ME0032715
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207QG0300X
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Taxonomy Name | Geriatric Medicine (Family Medicine) Physician
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License Number | ME0032715
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License Number State | FL
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