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General NPI Number Information
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NPI Number | 1376144584
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Entity Type | Organization
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Legal Business Name | FREESTYLE HEALING SRQ LLC
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Dates
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Enumeration Date | 11/04/2020
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Last Update Date | 01/29/2026
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Provider Practice Location Address
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Address Line | 11161 SR-70 E SUITE 100-537
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City | BRADENTON
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State | FL
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Zip | 34202
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Country | US
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Telephone | 941-363-1056
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Fax | 941-340-0607
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Provider Business Mailing Address
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Address Line | 11161 SR-70 E SUITE 100-537
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City | LAKEWOOD RANCH
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State | FL
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Zip | 34202
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Country | US
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Telephone | 941-363-1056
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Fax | 941-340-0607
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Authorized Official
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Title or Position | BUSINESS MANAGER
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Name | DR. JAYDEE JACOB ROBLES
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Credential | DACM
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Telephone | 941-363-1056
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number |
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License Number State |
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