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General NPI Number Information
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NPI Number | 1538028154
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Entity Type | Individual
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Provider Name | JORDAN FREIBORG PTA
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Gender | Male
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Dates
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Enumeration Date | 01/20/2026
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Last Update Date | 01/20/2026
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Provider Practice Location Address
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Address Line | 10425 HUFFMEISTER RD
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City | HOUSTON
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State | TX
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Zip | 77065-3429
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Country | US
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Telephone | 281-955-7577
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Fax |
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Provider Business Mailing Address
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Address Line | 5810 LIBBEY LN
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City | HOUSTON
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State | TX
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Zip | 77092-5022
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Country | US
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Telephone | 952-412-2449
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Fax |
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | A749
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 2143463
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License Number State | TX
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