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General NPI Number Information
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NPI Number | 1316858806
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Entity Type | Individual
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Provider Name | MR. DAVID BARTHOLOMEW FREEMAN JR.
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Gender | Male
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Dates
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Enumeration Date | 09/15/2026
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Last Update Date | 09/15/2026
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Provider Practice Location Address
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Address Line | 1143 MISSOURI ST
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City | FAIRFIELD
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State | CA
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Zip | 94533-6007
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Country | US
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Telephone | 707-435-9911
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Fax |
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Provider Business Mailing Address
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Address Line | 511 LASSEN AVE
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City | SUISUN CITY
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State | CA
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Zip | 94585-2329
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Country | US
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Telephone | 510-331-5245
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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 | 207QA0401X
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Taxonomy Name | Addiction Medicine (Family Medicine) Physician
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License Number | E1508504
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License Number State | CA
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