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General NPI Number Information
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NPI Number | 1255320164
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Entity Type | Organization
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Legal Business Name | FREEDOM2GO LLC
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Dates
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Enumeration Date | 10/14/2005
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Last Update Date | 06/09/2008
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Provider Practice Location Address
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Address Line | 2400 CROCKETT DRIVE STE 300
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City | BROWNWOOD
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State | TX
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Zip | 76801-1705
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Country | US
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Telephone | 325-646-1520
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Fax | 325-646-1141
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Provider Business Mailing Address
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Address Line | PO BOX 2802
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City | ABILENE
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State | TX
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Zip | 79604-2802
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Country | US
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Telephone | 325-437-2382
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Fax | 325-437-2388
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | MR. RICHARD A LAMB
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Credential |
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Telephone | 325-437-2382
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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