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General NPI Number Information
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NPI Number | 1003113762
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Entity Type | Individual
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Provider Name | JENNIFER ANNE FREIMUND M.D.
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Gender | Female
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Dates
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Enumeration Date | 02/16/2011
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Last Update Date | 10/06/2025
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Provider Practice Location Address
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Address Line | 3350 LA JOLLA VILLAGE DR
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City | SAN DIEGO
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State | CA
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Zip | 92161-0002
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Country | US
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Telephone | 858-552-7475
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Fax |
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Provider Business Mailing Address
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Address Line | 3121 MORNING WAY
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City | LA JOLLA
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State | CA
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Zip | 92037-1904
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Country | US
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Telephone |
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA21430
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number | A163664
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License Number State | CA
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