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General NPI Number Information
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NPI Number | 1851467286
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Entity Type | Individual
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Provider Name | WILLIAM HENRY FREY O.D.
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Gender | Male
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Dates
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Enumeration Date | 11/28/2006
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Last Update Date | 05/13/2008
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Provider Practice Location Address
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Address Line | 341 MAIN ST
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City | HOBART
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State | IN
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Zip | 46342-4441
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Country | US
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Telephone | 219-942-2811
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Fax |
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Provider Business Mailing Address
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Address Line | 341 MAIN ST
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City | HOBART
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State | IN
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Zip | 46342-4441
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Country | US
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Telephone | 219-942-2811
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 18002275
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License Number State | IN
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