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General NPI Number Information
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NPI Number | 1619330685
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Entity Type | Organization
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Legal Business Name | GIG FREEDOM LLC
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Dates
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Enumeration Date | 03/29/2016
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Last Update Date | 03/29/2016
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Provider Practice Location Address
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Address Line | 1806 W STASSNEY LN 100
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City | AUSTIN
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State | TX
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Zip | 78745-3677
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Country | US
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Telephone | 516-455-1818
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Fax |
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Provider Business Mailing Address
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Address Line | 1806 W STASSNEY LN 100
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City | AUSTIN
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State | TX
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Zip | 78745-3677
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Country | US
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Telephone | 516-455-1818
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. THOMAS CATALDO
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Credential | LAC
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Telephone | 516-455-1818
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number |
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License Number State | TX
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