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General NPI Number Information
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NPI Number | 1063933984
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Entity Type | Organization
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Legal Business Name | STEVEN M FREY DDS OF NAPLES PLLC
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Dates
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Enumeration Date | 06/30/2017
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Last Update Date | 06/30/2017
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Provider Practice Location Address
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Address Line | 4959 CASTELLO DR
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City | NAPLES
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State | FL
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Zip | 34103-8927
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Country | US
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Telephone | 810-348-3142
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Fax |
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Provider Business Mailing Address
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Address Line | 6323 CORPORATE CT STE A
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City | FORT MYERS
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State | FL
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Zip | 33919-3518
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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 | STEVEN FREY
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Credential | DDS
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Telephone | 810-348-3142
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | DN21480
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License Number State | FL
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