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General NPI Number Information
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NPI Number | 1053825703
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Entity Type | Organization
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Legal Business Name | FREEDOM HOME CARE, LLC.
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Dates
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Enumeration Date | 11/16/2017
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Last Update Date | 01/08/2024
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Provider Practice Location Address
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Address Line | 7551 SHELBY ST FL 3
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City | INDIANAPOLIS
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State | IN
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Zip | 46227-5980
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Country | US
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Telephone | 614-744-9676
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Fax | 317-744-9824
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Provider Business Mailing Address
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Address Line | 431 E HANNA AVE STE C
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City | INDIANAPOLIS
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State | IN
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Zip | 46227-1486
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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 | ADMINISTRATOR
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Name | VILAYPHONE THAWNGHMUNG
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Credential |
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Telephone | 614-327-7630
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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