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General NPI Number Information
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NPI Number | 1902831191
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Entity Type | Individual
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Provider Name | CORY JEFFRIES FREHNER MSPT
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Gender | Male
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Dates
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Enumeration Date | 07/12/2006
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Last Update Date | 05/03/2013
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Provider Practice Location Address
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Address Line | 3500 COFFEE RD STE A
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City | BAKERSFIELD
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State | CA
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Zip | 93308-5001
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Country | US
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Telephone | 661-589-6700
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Fax | 661-589-6702
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Provider Business Mailing Address
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Address Line | 4300 STINE RD, SUITE 108
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City | BAKERSFIELD
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State | CA
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Zip | 93313-9352
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Country | US
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Telephone | 661-834-2300
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Fax | 661-834-2635
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 28904
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License Number State | CA
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