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General NPI Number Information
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NPI Number | 1063377836
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Entity Type | Organization
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Legal Business Name | VATRA
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Dates
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Enumeration Date | 12/23/2025
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Last Update Date | 12/23/2025
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Provider Practice Location Address
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Address Line | 901 N WASHINGTON ST STE 601
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City | ALEXANDRIA
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State | VA
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Zip | 22314-1535
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Country | US
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Telephone | 315-552-1667
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Fax | 877-936-7157
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Provider Business Mailing Address
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Address Line | 901 N WASHINGTON ST STE 601
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City | ALEXANDRIA
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State | VA
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Zip | 22314-1535
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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 | DR. CORINA FREITAS
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Credential | MD
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Telephone | 347-671-3346
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2083B0002X
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Taxonomy Name | Obesity Medicine (Preventive Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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