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General NPI Number Information
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NPI Number | 1457011017
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Entity Type | Organization
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Legal Business Name | FREEDOM HUBS LLC
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Dates
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Enumeration Date | 12/23/2021
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Last Update Date | 12/23/2021
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Provider Practice Location Address
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Address Line | 6427 AUTUMN THISTLE DR
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City | KATY
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State | TX
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Zip | 77449-4494
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Country | US
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Telephone | 904-472-7777
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Fax |
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Provider Business Mailing Address
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Address Line | 10 SWEETDREAM PL
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City | THE WOODLANDS
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State | TX
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Zip | 77381-6009
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Country | US
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Telephone | 904-472-7777
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Fax |
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Authorized Official
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Title or Position | SOLE MBR
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Name | NOELLE JUMILI
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Credential |
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Telephone | 904-472-7777
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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