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General NPI Number Information
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NPI Number | 1760505655
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Entity Type | Organization
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Legal Business Name | WILLIAMS FREY PC
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Dates
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Enumeration Date | 04/08/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 319 ABC UNIT A
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City | ASPEN
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State | CO
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Zip | 81611-3516
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Country | US
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Telephone | 970-925-7844
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Fax |
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Provider Business Mailing Address
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Address Line | 156 HAYSTACK LN
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City | SNOWMASS
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State | CO
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Zip | 81654-9309
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Country | US
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Telephone | 970-927-0595
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Fax |
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | MS. JOANNE HARRIS
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Credential |
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Telephone | 303-768-9393
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 5135
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License Number State | CO
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