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General NPI Number Information
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NPI Number | 1679545867
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Entity Type | Individual
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Provider Name | GREGORY H FREITAG MD
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Gender | Male
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Dates
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Enumeration Date | 02/02/2006
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Last Update Date | 06/11/2024
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Provider Practice Location Address
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Address Line | BHC WASHINGTON NAVY YARD 915 N STREET SE
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City | WASHINGTON
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State | DC
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Zip | 20374
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Country | US
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Telephone | 202-433-3294
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Fax |
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Provider Business Mailing Address
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Address Line | 3259 CATLIN AVE
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City | QUANTICO
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State | VA
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Zip | 22134
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Country | US
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Telephone | 703-784-1725
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 0101235613
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License Number State | VA
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