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General NPI Number Information
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NPI Number | 1235533258
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Entity Type | Organization
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Legal Business Name | FREIBERG- DALE ASSOCIATES
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Dates
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Enumeration Date | 10/20/2014
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Last Update Date | 10/20/2014
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Provider Practice Location Address
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Address Line | 1254 CHESTNUT ST 2ND FLOOR
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City | NEWTON
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State | MA
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Zip | 02464-1451
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Country | US
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Telephone | 617-795-2727
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Fax | 617-244-0260
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Provider Business Mailing Address
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Address Line | 1254 CHESTNUT ST 2ND FLOOR
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City | NEWTON
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State | MA
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Zip | 02464-1451
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Country | US
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Telephone | 617-795-2727
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Fax | 617-244-0260
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Authorized Official
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Title or Position | DIRECTOR
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Name | BARNEY FREIBERG- DALE
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Credential |
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Telephone | 617-795-2727
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 7157
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License Number State | MA
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