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General NPI Number Information
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NPI Number | 1184057481
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Entity Type | Organization
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Legal Business Name | FREEDOM HEALTHCARE, LLC
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Dates
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Enumeration Date | 08/10/2013
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Last Update Date | 07/12/2025
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Provider Practice Location Address
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Address Line | 1119 E MONUMENT ST
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City | BALTIMORE
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State | MD
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Zip | 21202
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Country | US
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Telephone | 667-770-6320
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Fax | 667-770-6320
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Provider Business Mailing Address
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Address Line | 3310 EASTERN AVE
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City | BALTIMORE
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State | MD
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Zip | 21224-4108
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Country | US
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Telephone | 667-770-6320
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Fax | 667-770-6320
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Authorized Official
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Title or Position | CEO
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Name | MR. VERNON HOLMES JR.
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Credential | MBA
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Telephone | 667-770-6320
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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