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General NPI Number Information
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NPI Number | 1386751345
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Entity Type | Individual
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Provider Name | ANNE M FREESE PHARMD
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Gender | Female
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Dates
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Enumeration Date | 08/24/2006
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Last Update Date | 01/03/2017
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Provider Practice Location Address
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Address Line | 711 E DAILY DR SUITE 106
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City | CAMARILLO
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State | CA
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Zip | 93010-6075
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Country | US
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Telephone | 805-437-5652
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Fax | 844-847-2997
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Provider Business Mailing Address
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Address Line | 711 E DAILY DR SUITE 106
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City | CAMARILLO
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State | CA
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Zip | 93010-6075
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Country | US
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Telephone | 805-437-5652
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Fax | 844-847-2997
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 57285
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License Number State | CA
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