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General NPI Number Information
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NPI Number | 1285934984
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Entity Type | Organization
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Legal Business Name | RICHARD J. FREESMEIER, D.C., P.A.
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Dates
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Enumeration Date | 10/27/2010
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Last Update Date | 10/27/2010
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Provider Practice Location Address
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Address Line | 2538 CAPITAL MEDICAL BLVD
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City | TALLAHASSEE
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State | FL
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Zip | 32308-4424
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Country | US
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Telephone | 850-878-8242
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Fax | 850-878-7129
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Provider Business Mailing Address
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Address Line | 2538 CAPITAL MEDICAL BLVD
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City | TALLAHASSEE
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State | FL
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Zip | 32308-4424
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Country | US
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Telephone | 850-878-8242
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Fax | 850-878-7129
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Authorized Official
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Title or Position | OWNER/OPERATOR
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Name | DR. RICHARD J FREESMEIER
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Credential | D.C.
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Telephone | 850-878-8242
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CH0003407
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License Number State | FL
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