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General NPI Number Information
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NPI Number | 1922100486
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Entity Type | Individual
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Provider Name | FREDERICK FRIEDMAN JR. M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/03/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 47 E 88TH ST FIRST FLOOR
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City | NEW YORK
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State | NY
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Zip | 10128-1152
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Country | US
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Telephone | 212-534-0200
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Fax | 212-534-2648
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Provider Business Mailing Address
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Address Line | 1 LAKE RD S
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City | GREAT NECK
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State | NY
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Zip | 11020-1613
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Country | US
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Telephone | 516-829-0136
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Fax | 516-829-5719
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 169304
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License Number State | NY
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