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General NPI Number Information
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NPI Number | 1790528867
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Entity Type | Individual
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Provider Name | DANIEL FREITAS
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Gender | Male
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Dates
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Enumeration Date | 06/17/2024
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Last Update Date | 06/17/2024
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Provider Practice Location Address
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Address Line | 300 E MAIN ST
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City | MILFORD
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State | MA
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Zip | 01757-2806
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Country | US
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Telephone | 508-478-0207
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Fax |
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Provider Business Mailing Address
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Address Line | 1230 PLEASANT ST
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City | EAST WEYMOUTH
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State | MA
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Zip | 02189-2638
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Country | US
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Telephone | 781-534-0635
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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 | 222Q00000X
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Taxonomy Name | Developmental Therapist
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License Number |
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License Number State |
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