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General NPI Number Information
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NPI Number | 1386881886
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Entity Type | Organization
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Legal Business Name | FREEDOM HEALTHCARE SERVICES
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Dates
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Enumeration Date | 01/21/2009
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Last Update Date | 01/31/2012
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Provider Practice Location Address
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Address Line | 316 STATION ST SUITE 100
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City | BRIDGEVILLE
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State | PA
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Zip | 15017-1833
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Country | US
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Telephone | 412-221-1091
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Fax | 412-221-2939
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Provider Business Mailing Address
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Address Line | 316 STATION ST SUITE 100
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City | BRIDGEVILLE
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State | PA
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Zip | 15017-1833
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Country | US
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Telephone | 412-221-1091
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Fax | 412-221-2939
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. LOUIS H FARMER III
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Credential |
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Telephone | 412-221-1091
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QA0401X
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Taxonomy Name | Addiction Medicine (Family Medicine) Physician
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License Number | 350267065S
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | MD034854L
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number | 707264
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License Number State | PA
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