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General NPI Number Information
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NPI Number | 1235769571
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Entity Type | Individual
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Provider Name | ANDREW WESLEY FREEMAN DO
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Gender | Male
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Dates
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Enumeration Date | 01/24/2020
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Last Update Date | 02/25/2025
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Provider Practice Location Address
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Address Line | 620 PAUL JONES CIRCLE
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City | PORTSMOUTH
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State | VA
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Zip | 23708
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Country | US
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Telephone | 757-953-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 2122 LONGFELLOW RD
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City | YORKTOWN
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State | VA
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Zip | 23691-5118
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Country | US
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Telephone | 302-353-7580
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Fax |
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 0102206842
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License Number State | VA
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