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General NPI Number Information
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NPI Number | 1720449598
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Entity Type | Organization
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Legal Business Name | FREY ORTHOPEDICS, PLLC
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Dates
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Enumeration Date | 03/08/2016
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Last Update Date | 03/08/2016
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Provider Practice Location Address
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Address Line | 609 W MEMORIAL RD
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City | OKLAHOMA CITY
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State | OK
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Zip | 73114-2006
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Country | US
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Telephone | 405-418-3310
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Fax | 405-418-3319
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Provider Business Mailing Address
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Address Line | 609 W MEMORIAL RD
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City | OKLAHOMA CITY
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State | OK
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Zip | 73114-2006
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Country | US
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Telephone | 405-418-3310
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Fax | 405-418-3319
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Authorized Official
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Title or Position | MANAGEING MEMBER
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Name | DR. BRET N FREY
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Credential | MD
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Telephone | 405-418-3310
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 18928
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License Number State | OK
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