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General NPI Number Information
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NPI Number | 1336215953
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Entity Type | Individual
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Provider Name | GEORGE DAVID FREELAND DC
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Gender | Male
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Dates
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Enumeration Date | 11/27/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 200 E DIVISION
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City | SPARTA
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State | MI
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Zip | 49345
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Country | US
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Telephone | 616-887-2400
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Fax | 616-887-2740
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Provider Business Mailing Address
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Address Line | 200 E DIVISION PO BOX 116
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City | SPARTA
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State | MI
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Zip | 49345
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Country | US
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Telephone | 616-887-2400
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Fax | 616-887-2740
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | GF005619
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License Number State | MI
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