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General NPI Number Information
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NPI Number | 1366680365
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Entity Type | Individual
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Provider Name | MARY E FREIVOGEL M.S., C.G.C.
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Gender | Female
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Dates
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Enumeration Date | 01/29/2009
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Last Update Date | 02/01/2009
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Provider Practice Location Address
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Address Line | 8200 E BELLEVIEW AVE #200E
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City | GREENWOOD VILLAGE
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State | CO
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Zip | 80111-2803
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Country | US
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Telephone | 720-493-3226
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Fax | 303-741-4813
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Provider Business Mailing Address
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Address Line | 5654 JAGUAR WAY
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City | LITTLETON
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State | CO
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Zip | 80124-5202
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Country | US
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Telephone | 303-799-6252
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Fax | 303-696-9281
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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 | 170300000X
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Taxonomy Name | Genetic Counselor (M.S.)
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License Number |
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License Number State |
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