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General NPI Number Information
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NPI Number | 1164743720
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Entity Type | Individual
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Provider Name | BRIAN LARRY FREEMAN D.P.M.
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Gender | Male
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Dates
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Enumeration Date | 06/17/2010
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Last Update Date | 06/02/2025
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Provider Practice Location Address
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Address Line | 660 SWIFT BLVD STE D
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City | RICHLAND
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State | WA
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Zip | 99352-3560
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Country | US
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Telephone | 509-821-9204
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Fax | 509-606-2100
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Provider Business Mailing Address
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Address Line | 660 SWIFT BLVD STE D
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City | RICHLAND
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State | WA
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Zip | 99352-3560
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Country | US
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Telephone | 509-821-9204
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Fax | 509-606-2100
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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 | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | PO60337485
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 213ES0103X
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | PO60337485
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License Number State | WA
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