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General NPI Number Information
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NPI Number | 1306149448
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Entity Type | Organization
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Legal Business Name | JON FRECKLETON DO, PLLC
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Dates
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Enumeration Date | 12/13/2010
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Last Update Date | 12/13/2010
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Provider Practice Location Address
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Address Line | 350 OAK STREET
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City | STEAMBOAT SPRINGS
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State | CO
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Zip | 80477-5549
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Country | US
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Telephone | 970-871-1300
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Fax | 970-879-6295
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Provider Business Mailing Address
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Address Line | PO BOX 775549
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City | STEAMBOAT SPRINGS
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State | CO
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Zip | 80477-5549
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Country | US
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Telephone | 970-871-1300
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Fax | 970-879-6295
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Authorized Official
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Title or Position | OFFICE MANAGER/BOOKKEEPER
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Name | MRS. MICHELLE LEROSS FRECKLETON
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Credential |
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Telephone | 970-871-1300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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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 | 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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