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General NPI Number Information
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NPI Number | 1326826637
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Entity Type | Organization
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Legal Business Name | FREEPATH LLC
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Dates
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Enumeration Date | 09/18/2023
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Last Update Date | 12/12/2023
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Provider Practice Location Address
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Address Line | 16365 PARK TEN PL STE 265
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City | HOUSTON
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State | TX
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Zip | 77084-5114
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Country | US
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Telephone | 281-762-2339
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Fax | 888-370-5396
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Provider Business Mailing Address
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Address Line | 8323 SOUTHWEST FWY, STE 590
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City | HOUSTON
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State | TX
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Zip | 77074-1616
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Country | US
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Telephone | 281-762-2339
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Fax | 888-370-5396
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Authorized Official
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Title or Position | MANAGER
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Name | RAZAK OKUNEYE
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Credential |
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Telephone | 281-620-3253
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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