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General NPI Number Information
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NPI Number | 1578576856
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Entity Type | Individual
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Provider Name | MARK A FREHER MD
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Gender | Male
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Dates
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Enumeration Date | 08/15/2006
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Last Update Date | 12/17/2019
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Provider Practice Location Address
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Address Line | 5258 LINTON BLVD STE 106
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City | DELRAY BEACH
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State | FL
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Zip | 33484-6529
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Country | US
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Telephone | 561-303-3491
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Fax | 877-248-5240
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Provider Business Mailing Address
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Address Line | 1841 NE 45TH ST
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City | FORT LAUDERDALE
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State | FL
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Zip | 33308-5117
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Country | US
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Telephone | 954-678-9531
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Fax | 954-678-9533
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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 | 207RC0001X
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Taxonomy Name | Clinical Cardiac Electrophysiology Physician
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License Number | ME83227
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License Number State | FL
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