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NPI 1336014828

NPI 1336014828 : AUBREY FREESE MCN, RD, LD : PLANO, TX

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General NPI Number Information
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    NPI Number           |    1336014828
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    Entity Type          |    Individual 
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    Provider Name        |    AUBREY FREESE MCN, RD, LD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/06/2025
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    Last Update Date     |    11/14/2025
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Provider Practice Location Address
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    Address Line         |    7601 PRESTON RD 
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    City                 |    PLANO
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    State                |    TX
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    Zip                  |    75024-3214
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    Country              |    US
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    Telephone            |    469-303-4041
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    Fax                  |    469-303-0670
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Provider Business Mailing Address
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    Address Line         |    7601 PRESTON RD 
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    City                 |    PLANO
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    State                |    TX
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    Zip                  |    75024-3214
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    Country              |    US
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    Telephone            |    469-303-4041
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    Fax                  |    469-303-0670
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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        |    133VN1004X
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    Taxonomy Name        |    Pediatric Nutrition Registered Dietitian
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    License Number       |    86393165
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    License Number State |    TX
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