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General NPI Number Information
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NPI Number | 1548666092
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Entity Type | Individual
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Provider Name | LAURA A. FREEMAN FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 11/11/2014
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Last Update Date | 12/30/2015
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Provider Practice Location Address
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Address Line | 5965 HOOVER RD
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City | GROVE CITY
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State | OH
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Zip | 43123-9702
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Country | US
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Telephone | 614-317-2188
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Fax | 614-277-3413
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Provider Business Mailing Address
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Address Line | 2620 ELM HILL PIKE
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City | NASHVILLE
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State | TN
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Zip | 37214-3108
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Country | US
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Telephone | 615-425-4200
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Fax | 615-425-4268
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | COA.16798-NP
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RN.360746-COA1
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License Number State | OH
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