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General NPI Number Information
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NPI Number | 1154811461
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Entity Type | Organization
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Legal Business Name | P DAVID FREEMAN MD LTD
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Dates
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Enumeration Date | 05/11/2018
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Last Update Date | 07/18/2024
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Provider Practice Location Address
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Address Line | 7480 LONGLEY LN
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City | RENO
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State | NV
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Zip | 89511-1228
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Country | US
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Telephone | 775-451-7268
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Fax | 775-451-7270
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Provider Business Mailing Address
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Address Line | 7480 LONGLEY LN
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City | RENO
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State | NV
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Zip | 89511-1228
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Country | US
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Telephone | 775-451-7268
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Fax | 775-451-7270
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Authorized Official
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Title or Position | OWNER / PHYSICIAN
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Name | PETER DAVID FREEMAN
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Credential | MD
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Telephone | 775-451-7268
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207WX0107X
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Taxonomy Name | Retina Specialist (Ophthalmology) Physician
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License Number |
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License Number State |
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