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General NPI Number Information
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NPI Number | 1194255307
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Entity Type | Individual
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Provider Name | NOAH EDWARD FREIBURGER DNP, PMHNP-BC, CBIS
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Gender | Male
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Dates
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Enumeration Date | 06/20/2017
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Last Update Date | 02/05/2026
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Provider Practice Location Address
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Address Line | 29532 SOUTHFIELD RD STE 115
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City | SOUTHFIELD
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State | MI
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Zip | 48076-2023
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Country | US
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Telephone | 989-465-5707
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Fax | 313-432-6019
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Provider Business Mailing Address
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Address Line | 2150 HILLHURST AVE
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City | LOS ANGELES
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State | CA
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Zip | 90027-2012
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Country | US
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Telephone | 989-465-5707
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Fax | 313-432-6019
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 4704374326
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 4704374326
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 95033950
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License Number State | CA
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