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General NPI Number Information
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NPI Number | 1124291653
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Entity Type | Individual
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Provider Name | DEAN FREELAND PT
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Gender | Male
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Dates
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Enumeration Date | 04/04/2008
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Last Update Date | 04/04/2008
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Provider Practice Location Address
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Address Line | 8520 W OKLAHOMA AVE
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City | MILWAUKEE
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State | WI
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Zip | 53227-4604
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Country | US
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Telephone | 414-607-4258
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Fax |
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Provider Business Mailing Address
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Address Line | N3877 BROSIG LN
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City | FORT ATKINSON
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State | WI
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Zip | 53538-9153
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Country | US
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Telephone | 608-423-1470
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 5871024
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License Number State | WY
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