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General NPI Number Information
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NPI Number | 1144283565
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Entity Type | Organization
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Legal Business Name | D M FREEMAN MD ENDOCRINOLOGY LTD
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Dates
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Enumeration Date | 04/07/2006
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Last Update Date | 08/14/2007
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Provider Practice Location Address
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Address Line | 30 UNO CIRCLE
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City | JOLIET
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State | IL
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Zip | 60435
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Country | US
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Telephone | 815-773-0766
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Fax | 815-773-0764
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Provider Business Mailing Address
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Address Line | 30 UNO CIRCLE
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City | JOLIET
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State | IL
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Zip | 60435
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Country | US
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Telephone | 815-773-0766
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Fax | 815-773-0764
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Authorized Official
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Title or Position | PRESIDENT
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Name | DEBORAH MARIE FREEMAN
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Credential | MD
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Telephone | 815-773-0766
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | 036055504
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License Number State | IL
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