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General NPI Number Information
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NPI Number | 1417447665
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Entity Type | Individual
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Provider Name | JENNA FREITAS DO
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Gender | Female
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Dates
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Enumeration Date | 05/14/2018
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Last Update Date | 09/08/2025
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Provider Practice Location Address
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Address Line | CFV VILLAGE SURGICAL 1841 QUIET COVE
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City | FAYETTEVILLE
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State | NC
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Zip | 28304-3424
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Country | US
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Telephone | 910-323-2626
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Fax | 910-484-7962
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Provider Business Mailing Address
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Address Line | 1638 OWEN DR
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City | FAYETTEVILLE
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State | NC
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Zip | 28304-3424
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Country | US
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Telephone |
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Fax |
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 2023-01996
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License Number State | NC
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