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General NPI Number Information
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NPI Number | 1467516518
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Entity Type | Organization
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Legal Business Name | FREDDY AVNI MD PA
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Dates
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Enumeration Date | 12/21/2006
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Last Update Date | 09/07/2010
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Provider Practice Location Address
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Address Line | 1395 S STATE ROAD 7 SUITE 420
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City | WELLINGTON
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State | FL
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Zip | 33414-9327
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Country | US
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Telephone | 561-204-4687
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Fax | 561-204-4694
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Provider Business Mailing Address
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Address Line | 1395 S STATE ROAD 7 SUITE 420
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City | WELLINGTON
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State | FL
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Zip | 33414-9327
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Country | US
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Telephone | 561-204-4687
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Fax | 561-204-4694
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. FREDDY AVNI
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Credential | MD
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Telephone | 561-204-4687
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME0068307
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License Number State | FL
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