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General NPI Number Information
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NPI Number | 1053716910
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Entity Type | Organization
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Legal Business Name | FREEDOM CHIROPRACTIC AND REHABILITATION
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Dates
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Enumeration Date | 11/04/2014
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Last Update Date | 02/23/2026
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Provider Practice Location Address
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Address Line | 1643 LIBERTY RD STE 206
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City | ELDERSBURG
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State | MD
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Zip | 21784-6543
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Country | US
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Telephone | 410-795-0400
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Fax | 443-687-8735
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Provider Business Mailing Address
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Address Line | 1643 LIBERTY RD STE 206
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City | ELDERSBURG
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State | MD
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Zip | 21784-6543
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Country | US
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Telephone | 410-795-0400
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Fax | 443-687-8735
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Authorized Official
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Title or Position | CO-OWNER
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Name | WILLIAM BLEAM III
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Credential | DC
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Telephone | 410-795-0400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number | S03386
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number | S02189
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License Number State | MD
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