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General NPI Number Information
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NPI Number | 1467655696
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Entity Type | Individual
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Provider Name | NICOLE G FREELS DPM
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Gender | Female
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Dates
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Enumeration Date | 06/06/2007
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Last Update Date | 07/22/2024
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Provider Practice Location Address
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Address Line | 2700 OLD ROSEBUD RD STE 250
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City | LEXINGTON
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State | KY
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Zip | 40509-8625
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Country | US
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Telephone | 859-264-1141
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Fax | 859-264-1963
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Provider Business Mailing Address
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Address Line | 2700 OLD ROSEBUD RD STE 250
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City | LEXINGTON
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State | KY
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Zip | 40509-8625
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Country | US
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Telephone | 859-264-1141
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Fax | 859-264-1963
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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 | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 00330
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 224L00000X
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Taxonomy Name | Pedorthist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number | 00330
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License Number State | KY
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