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General NPI Number Information
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NPI Number | 1255520573
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Entity Type | Organization
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Legal Business Name | DANIEL P FREEMAN MD PC
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Dates
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Enumeration Date | 10/23/2007
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Last Update Date | 11/28/2023
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Provider Practice Location Address
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Address Line | 900 E MICHIGAN AVE STE 102
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City | JACKSON
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State | MI
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Zip | 49201-2490
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Country | US
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Telephone | 517-788-8408
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Fax |
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Provider Business Mailing Address
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Address Line | 900 E MICHIGAN AVE STE 102
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City | JACKSON
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State | MI
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Zip | 49201-2490
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Country | US
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Telephone | 517-788-8408
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. DANIEL P FREEMAN
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Credential | MD
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Telephone | 517-788-8408
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 4301055814
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License Number State | MI
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