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General NPI Number Information
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NPI Number | 1902013675
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Entity Type | Organization
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Legal Business Name | DAVID FRIEDMAN
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Dates
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Enumeration Date | 05/16/2007
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Last Update Date | 11/09/2012
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Provider Practice Location Address
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Address Line | 435 NASSAU BLVD
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City | WEST HEMPSTEAD
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State | NY
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Zip | 11552-2830
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Country | US
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Telephone | 516-481-8469
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Fax |
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Provider Business Mailing Address
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Address Line | 435 NASSAU BLVD
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City | WEST HEMPSTEAD
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State | NY
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Zip | 11552-2830
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Country | US
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Telephone | 516-481-8469
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | DR. DAVID FRIEDMAN
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Credential | D.D.S.
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Telephone | 516-486-0473
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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