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General NPI Number Information
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NPI Number | 1295819050
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Entity Type | Organization
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Legal Business Name | FREEDOM HOSPICE, LLC
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Dates
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Enumeration Date | 10/25/2006
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Last Update Date | 11/06/2025
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Provider Practice Location Address
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Address Line | 5110 S YALE AVE STE 430
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City | TULSA
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State | OK
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Zip | 74135-7483
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Country | US
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Telephone | 918-493-4930
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Fax | 918-346-6400
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Provider Business Mailing Address
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Address Line | PO BOX 4060
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City | MOORESVILLE
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State | NC
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Zip | 28117-4060
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Country | US
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Telephone | 704-664-2876
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Fax | 704-230-0946
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Authorized Official
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Title or Position | VP OF LICENSURE
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Name | JANET L. COMBS
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Credential |
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Telephone | 704-662-1761
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number | 4208
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License Number State | OK
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