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General NPI Number Information
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NPI Number | 1215465315
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Entity Type | Organization
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Legal Business Name | FREEDOM HOME HEALTH AND WELLNESS
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Dates
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Enumeration Date | 06/01/2017
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Last Update Date | 06/01/2017
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Provider Practice Location Address
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Address Line | 4712 HOFFMAN DR
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City | AUSTIN
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State | TX
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Zip | 78749-3602
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Country | US
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Telephone | 210-286-5329
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Fax |
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Provider Business Mailing Address
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Address Line | 4712 HOFFMAN DR
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City | AUSTIN
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State | TX
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Zip | 78749-3602
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. JOSE L. PALACIOS JR.
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Credential | OTR
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Telephone | 210-286-5329
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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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 | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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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 | 374U00000X
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Taxonomy Name | Home Health Aide
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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 | 225XP0019X
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Taxonomy Name | Physical Rehabilitation Occupational Therapist
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License Number | 114393
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License Number State | TX
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