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General NPI Number Information
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NPI Number | 1326351750
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Entity Type | Organization
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Legal Business Name | FREYSMILES ORTHODONTICS
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Dates
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Enumeration Date | 07/14/2010
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Last Update Date | 07/14/2010
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Provider Practice Location Address
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Address Line | 1251 S CEDAR CREST BLVD # 210
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City | ALLENTOWN
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State | PA
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Zip | 18103-6205
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Country | US
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Telephone | 610-437-4748
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Fax |
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Provider Business Mailing Address
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Address Line | 1251 S CEDAR CREST BLVD # 210
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City | ALLENTOWN
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State | PA
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Zip | 18103-6205
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Country | US
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Telephone | 610-437-4748
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Fax |
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Authorized Official
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Title or Position | ORTHODONTIST
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Name | DR. GREGG FREY
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Credential | DDS
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Telephone | 610-437-4748
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | DS018137L
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License Number State | PA
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