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General NPI Number Information
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NPI Number | 1588180467
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Entity Type | Individual
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Provider Name | MOSHE FREILICH
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Gender | Male
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Dates
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Enumeration Date | 08/22/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 170 53RD STREET SUITE 304
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City | BROOKLYN
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State | NY
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Zip | 11232
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Country | US
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Telephone | 718-616-0800
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Fax | 718-799-1066
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Provider Business Mailing Address
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Address Line | 170 53RD ST STE 304
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City | BROOKLYN
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State | NY
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Zip | 11232-2630
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Country | US
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Telephone | 718-616-0800
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Fax | 718-799-1066
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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 | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number | 1594L001
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License Number State | NY
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