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General NPI Number Information
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NPI Number | 1902048275
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Entity Type | Organization
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Legal Business Name | BETH FREEDLAND, D.O., LLC
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Dates
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Enumeration Date | 04/01/2009
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Last Update Date | 03/02/2012
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Provider Practice Location Address
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Address Line | 7301A W PALMETTO PARK RD SUITE 301A
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City | BOCA RATON
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State | FL
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Zip | 33433-3409
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Country | US
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Telephone | 561-961-5456
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Fax | 561-672-7953
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Provider Business Mailing Address
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Address Line | 7301A W PALMETTO PARK RD SUITE 301A
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City | BOCA RATON
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State | FL
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Zip | 33433-3409
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Country | US
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Telephone | 561-961-5456
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Fax | 561-672-7953
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. BETH LORI FREEDLAND
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Credential | D.O.
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Telephone | 561-961-5456
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | OS8499
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License Number State | FL
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