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General NPI Number Information
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NPI Number | 1851317218
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Entity Type | Organization
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Legal Business Name | FEDERICO A. FRIAS MD PA
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Dates
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Enumeration Date | 07/15/2006
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Last Update Date | 04/25/2014
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Provider Practice Location Address
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Address Line | 5255 OFFICE PARK BLVD SUITE 110
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City | BRADENTON
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State | FL
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Zip | 34203-3443
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Country | US
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Telephone | 941-755-7000
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Fax | 941-755-7088
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Provider Business Mailing Address
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Address Line | 5255 OFFICE PARK BLVD SUITE 110
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City | BRADENTON
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State | FL
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Zip | 34203-3443
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Country | US
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Telephone | 941-755-7000
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Fax | 941-755-7088
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Authorized Official
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Title or Position | PHYSICIAN PEDIATRICIAN
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Name | MR. FEDERICO A FRIAS
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Credential | M.D
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Telephone | 941-755-7000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | ME87970
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License Number State | FL
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