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General NPI Number Information
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NPI Number | 1982874327
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Entity Type | Organization
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Legal Business Name | KURT FREILINGER PSC
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Dates
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Enumeration Date | 02/29/2008
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Last Update Date | 05/31/2011
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Provider Practice Location Address
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Address Line | 3265 TAYLOR BLVD
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City | LOUISVILLE
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State | KY
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Zip | 40215-2662
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Country | US
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Telephone | 502-380-0403
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Fax | 502-380-9079
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Provider Business Mailing Address
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Address Line | 3265 TAYLOR BLVD
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City | LOUISVILLE
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State | KY
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Zip | 40215-2662
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Country | US
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Telephone | 502-380-0403
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Fax | 502-380-9079
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Authorized Official
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Title or Position | OWNER
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Name | DR. KURT MATTHEW FREILINGER
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Credential | D.C
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Telephone | 502-380-0403
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 4575
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License Number State | KY
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