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General NPI Number Information
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NPI Number | 1104080472
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Entity Type | Individual
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Provider Name | ASHA MARIE FREEMAN M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/15/2008
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Last Update Date | 05/27/2015
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Provider Practice Location Address
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Address Line | 8610 MARTIN LUTHER KING BLVD # JR
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City | HOUSTON
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State | TX
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Zip | 77033-2308
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Country | US
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Telephone | 832-308-1076
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Fax |
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Provider Business Mailing Address
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Address Line | 22315 SLATE OAKS LN
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City | RICHMOND
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State | TX
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Zip | 77469-1688
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Country | US
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Telephone | 713-876-3057
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | MD435055
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | N2507
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License Number State | TX
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