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General NPI Number Information
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NPI Number | 1235403411
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Entity Type | Organization
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Legal Business Name | JAMES A. FREEBERG, EDD, PC
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Dates
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Enumeration Date | 03/06/2012
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Last Update Date | 03/06/2012
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Provider Practice Location Address
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Address Line | 866 W PRICE RD
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City | BROWNSVILLE
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State | TX
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Zip | 78520-8702
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Country | US
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Telephone | 956-546-0363
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Fax | 866-561-8953
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Provider Business Mailing Address
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Address Line | 866 W PRICE RD
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City | BROWNSVILLE
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State | TX
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Zip | 78520-8702
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Country | US
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Telephone | 956-546-0363
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Fax | 866-561-8953
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Authorized Official
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Title or Position | OWNER/PSYCHOLOGIST
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Name | DR. JAMES A FREEBERG
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Credential | EDD
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Telephone | 956-546-0363
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 02-1177
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License Number State | TX
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