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General NPI Number Information
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NPI Number | 1114984358
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Entity Type | Individual
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Provider Name | EDUARDO MAURICIO FRAIFELD MD
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Gender | Male
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Dates
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Enumeration Date | 05/01/2006
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Last Update Date | 06/10/2020
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Provider Practice Location Address
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Address Line | 109 BRIDGE ST STE 300
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City | DANVILLE
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State | VA
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Zip | 24541-1222
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Country | US
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Telephone | 347-934-7114
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Fax | 434-797-2514
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Provider Business Mailing Address
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Address Line | 109 BRIDGE ST STE 300
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City | DANVILLE
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State | VA
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Zip | 24541-1222
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Country | US
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Telephone | 434-793-4711
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Fax | 434-797-2514
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 0101055618
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | 0101055618
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 0101055618
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License Number State | VA
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