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General NPI Number Information
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NPI Number | 1649277401
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Entity Type | Individual
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Provider Name | FREDERICK B NIEGOS MD
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Gender | Male
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Dates
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Enumeration Date | 07/07/2005
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Last Update Date | 08/18/2025
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Provider Practice Location Address
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Address Line | 2955 BROWNWOOD BLVD
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City | THE VILLAGES
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State | FL
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Zip | 32163-2039
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Country | US
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Telephone | 352-674-8700
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Fax | 352-674-8714
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Provider Business Mailing Address
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Address Line | 1020 LAKE SUMTER LNDG
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City | THE VILLAGES
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State | FL
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Zip | 32162-2699
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Country | US
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Telephone | 352-674-8905
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Fax | 352-674-8901
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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 | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | E-10215
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License Number State | AR
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Taxonomy #2
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | P1675
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | ME153645
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License Number State | FL
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