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General NPI Number Information
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NPI Number | 1306476049
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Entity Type | Organization
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Legal Business Name | FREYA HEALTH LLC
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Dates
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Enumeration Date | 01/22/2020
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Last Update Date | 02/01/2020
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Provider Practice Location Address
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Address Line | 7205 ESTERO BLVD STE 733
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City | FORT MYERS BEACH
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State | FL
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Zip | 33931-4779
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Country | US
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Telephone | 732-804-2014
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Fax |
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Provider Business Mailing Address
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Address Line | 9365 VIA MURANO CT
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City | FORT MYERS
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State | FL
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Zip | 33905-5499
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Country | US
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Telephone | 732-804-2014
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Fax |
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Authorized Official
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Title or Position | PA-C
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Name | VANDANA PATEL
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Credential |
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Telephone | 732-804-2014
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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