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General NPI Number Information
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NPI Number | 1881243855
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Entity Type | Organization
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Legal Business Name | FRIEDLAND FAMILY DENTISTRY
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Dates
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Enumeration Date | 09/11/2019
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Last Update Date | 09/11/2019
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Provider Practice Location Address
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Address Line | 10031 PINES BLVD # W101
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City | PEMBROKE PINES
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State | FL
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Zip | 33024-6179
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Country | US
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Telephone | 954-531-3747
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Fax |
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Provider Business Mailing Address
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Address Line | 10031 PINES BLVD # W101
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City | PEMBROKE PINES
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State | FL
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Zip | 33024-6179
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Country | US
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Telephone | 954-531-3747
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | BRYAN J FRIEDLAND
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Credential | DMD
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Telephone | 954-450-6640
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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