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General NPI Number Information
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NPI Number | 1841220092
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Entity Type | Individual
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Provider Name | GHASSAN FREIHA MD
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Gender | Male
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Dates
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Enumeration Date | 07/04/2006
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Last Update Date | 08/24/2009
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Provider Practice Location Address
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Address Line | 876 LOOP 337 STE 302
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City | NEW BRAUNFELS
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State | TX
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Zip | 78130
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Country | US
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Telephone | 830-625-8088
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Fax | 830-629-9215
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Provider Business Mailing Address
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Address Line | 876 LOOP 337 STE 302
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City | NEW BRAUNFELS
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State | TX
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Zip | 78130
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Country | US
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Telephone | 830-625-8088
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Fax | 830-629-9215
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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 | 208800000X
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Taxonomy Name | Urology Physician
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License Number | J6439
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License Number State | TX
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