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General NPI Number Information
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NPI Number | 1053917419
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Entity Type | Organization
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Legal Business Name | ALISHA FREYDENFELDT DC LLC
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Dates
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Enumeration Date | 12/09/2020
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Last Update Date | 03/29/2022
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Provider Practice Location Address
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Address Line | 13 CHENELL DR STE 1
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City | CONCORD
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State | NH
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Zip | 03301-8539
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Country | US
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Telephone | 603-246-5727
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Fax |
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Provider Business Mailing Address
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Address Line | 13 CHENELL DR STE 1
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City | CONCORD
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State | NH
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Zip | 03301-8539
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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 | OWNER
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Name | ALISHA FREYDENFELDT
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Credential | DC
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Telephone | 603-560-3889
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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