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General NPI Number Information
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NPI Number | 1609832211
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Entity Type | Individual
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Provider Name | INGRID FLORES-FREETH MD
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Gender | Female
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Dates
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Enumeration Date | 04/22/2006
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Last Update Date | 09/18/2014
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Provider Practice Location Address
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Address Line | 3049 36TH STREET
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City | ASTORIA
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State | NY
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Zip | 11103
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Country | US
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Telephone | 718-278-2126
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Fax | 718-545-8894
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Provider Business Mailing Address
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Address Line | 8906 135TH STREET 7L
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City | JAMAICA
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State | NY
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Zip | 11418
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Country | US
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Telephone | 718-206-6984
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Fax | 718-206-6786
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 221212
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License Number State | NY
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