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General NPI Number Information
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NPI Number | 1851661235
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Entity Type | Organization
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Legal Business Name | ROBERT M. FREUND, M.D., P.C.
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Dates
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Enumeration Date | 01/03/2012
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Last Update Date | 01/03/2012
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Provider Practice Location Address
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Address Line | 170 E END AVE SUITES CS
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City | NEW YORK
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State | NY
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Zip | 10128-7600
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Country | US
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Telephone | 212-583-1200
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Fax | 212-583-0324
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Provider Business Mailing Address
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Address Line | 170 E END AVE SUITES CS
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City | NEW YORK
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State | NY
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Zip | 10128-7600
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Country | US
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Telephone | 212-583-1200
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Fax | 212-583-0324
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Authorized Official
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Title or Position | OWNER
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Name | DR. ROBERT M FREUND
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Credential | M.D.
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Telephone | 212-583-1200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0122X
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Taxonomy Name | Plastic and Reconstructive Surgery Physician
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License Number | 175077
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License Number State | NY
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