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General NPI Number Information
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NPI Number | 1881939429
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Entity Type | Organization
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Legal Business Name | ELLIOTT M. FRIEDEMAN MD INC
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Dates
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Enumeration Date | 12/09/2012
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Last Update Date | 12/09/2012
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Provider Practice Location Address
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Address Line | 106 WELLINGTON PL
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City | CINCINNATI
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State | OH
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Zip | 45219-1710
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Country | US
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Telephone | 513-721-1500
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Fax | 513-977-4894
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Provider Business Mailing Address
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Address Line | 106 WELLINGTON PL
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City | CINCINNATI
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State | OH
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Zip | 45219-1710
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Country | US
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Telephone |
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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. ELLIOTT FRIEDEMAN
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Credential | M.D.
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Telephone | 513-721-1500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 35039251
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License Number State | OH
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