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General NPI Number Information
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NPI Number | 1164155867
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Entity Type | Individual
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Provider Name | JEFFREY CURTIS FREUND
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Gender | Male
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Dates
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Enumeration Date | 07/08/2022
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Last Update Date | 12/15/2022
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Provider Practice Location Address
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Address Line | 1968 PEACHTREE RD NW
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City | ATLANTA
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State | GA
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Zip | 30309-1281
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Country | US
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Telephone | 404-605-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 6390 NW 24TH ST
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City | BOCA RATON
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State | FL
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Zip | 33434-4319
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Country | US
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Telephone | 224-595-7439
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Fax |
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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 | 367H00000X
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Taxonomy Name | Anesthesiologist Assistant
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License Number | 11272
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 207LC0200X
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Taxonomy Name | Critical Care Medicine (Anesthesiology) Physician
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License Number | 11272
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License Number State | GA
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