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General NPI Number Information
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NPI Number | 1639423593
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Entity Type | Individual
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Provider Name | MICHELLE FREYRE LMT, AOS
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Gender | Female
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Dates
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Enumeration Date | 10/31/2012
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Last Update Date | 10/31/2012
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Provider Practice Location Address
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Address Line | 1520 SIMMS ST
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City | LAKEWOOD
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State | CO
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Zip | 80215-2610
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Country | US
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Telephone | 720-252-0747
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Fax |
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Provider Business Mailing Address
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Address Line | 383 VAN GORDON ST APT 12-251
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City | LAKEWOOD
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State | CO
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Zip | 80228-1520
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Country | US
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Telephone | 720-252-0747
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 13237
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License Number State | CO
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