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General NPI Number Information
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NPI Number | 1023963113
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Entity Type | Organization
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Legal Business Name | FREEDOM ASSEMBLY, INC (INDIAN NATION CORPORATION)
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Dates
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Enumeration Date | 03/03/2026
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Last Update Date | 03/03/2026
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Provider Practice Location Address
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Address Line | 16567 STAGECOACH AVE
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City | PALMDALE
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State | CA
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Zip | 93591-3211
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Country | US
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Telephone | 310-877-3539
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Fax |
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Provider Business Mailing Address
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Address Line | 10866 WASHINGTON BLVD # 757
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City | CULVER CITY
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State | CA
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Zip | 90232-3610
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Country | US
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Telephone | 310-877-3539
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Fax |
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Authorized Official
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Title or Position | CHAIRMAN OF THE BOARD
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Name | MS. JOSET ROBERTS
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Credential | FOUNDER
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Telephone | 310-877-3539
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332800000X
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Taxonomy Name | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
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License Number |
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License Number State |
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