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General NPI Number Information
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NPI Number | 1205406030
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Entity Type | Organization
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Legal Business Name | FREEDOMCARE PA
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Dates
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Enumeration Date | 06/24/2021
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Last Update Date | 06/24/2021
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Provider Practice Location Address
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Address Line | 1700 MARKET ST STE 1005
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City | PHILADELPHIA
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State | PA
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Zip | 19103-3920
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Country | US
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Telephone | 215-996-7140
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Fax | 215-996-7120
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Provider Business Mailing Address
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Address Line | 1979 MARCUS AVE STE C115
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City | NEW HYDE PARK
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State | NY
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Zip | 11042-1126
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Country | US
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Telephone | 480-330-8855
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | YOEL GABAY
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Credential |
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Telephone | 718-989-9725
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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