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General NPI Number Information
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NPI Number | 1558434209
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Entity Type | Organization
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Legal Business Name | RAY M FREEMAN DC PC
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Dates
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Enumeration Date | 11/17/2006
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Last Update Date | 05/14/2009
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Provider Practice Location Address
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Address Line | 2806 N NAVARRO SUITE O
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City | VICTORIA
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State | TX
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Zip | 77901-3937
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Country | US
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Telephone | 361-578-9945
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Fax | 361-578-9145
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Provider Business Mailing Address
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Address Line | 2806 N NAVARRO SUITE O
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City | VICTORIA
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State | TX
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Zip | 77901-3937
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Country | US
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Telephone | 361-578-9945
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Fax | 361-578-9145
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Authorized Official
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Title or Position | OWNER PRACTITIONER
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Name | DR. RAY M FREEMAN
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Credential | DC
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Telephone | 361-578-9945
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | DC2508
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License Number State |
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