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General NPI Number Information
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NPI Number | 1225986656
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Entity Type | Organization
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Legal Business Name | FREEDOM EYE CARE PLLC
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Dates
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Enumeration Date | 03/20/2026
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Last Update Date | 03/20/2026
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Provider Practice Location Address
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Address Line | 2840 BASTOGNE AVE
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City | FORT CAMPBELL
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State | KY
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Zip | 42223-5114
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Country | US
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Telephone | 270-640-4699
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Fax |
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Provider Business Mailing Address
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Address Line | 2840 BASTOGNE AVE
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City | FORT CAMPBELL
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State | KY
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Zip | 42223-5114
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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 | MANAGER
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Name | DR. YORAM SAUL FRIEDMAN
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Credential | OD
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Telephone | 908-209-1454
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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