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General NPI Number Information
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NPI Number | 1477333169
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Entity Type | Individual
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Provider Name | ENYLLOP FREITAS DC
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Gender | Female
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Dates
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Enumeration Date | 10/02/2023
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Last Update Date | 10/02/2023
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Provider Practice Location Address
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Address Line | 3200 S CONGRESS AVE
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City | BOYNTON BEACH
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State | FL
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Zip | 33426-9090
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Country | US
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Telephone | 561-877-5525
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Fax |
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Provider Business Mailing Address
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Address Line | 11431 81ST CT N
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City | PALM BEACH GARDENS
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State | FL
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Zip | 33412-1532
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Country | US
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Telephone | 954-495-5622
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CH14457
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License Number State | FL
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