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1578689246 NPI number — FREDERIC JOHN FREEMAN II B.SC.,D.C.

NPI Number: 1578689246
Health Care Provider/Practitioner: FREDERIC JOHN FREEMAN II B.SC.,D.C.

Information about “1578689246” NPI (FREDERIC JOHN FREEMAN II B.SC.,D.C.) exists in 1578689246 in HTML format HTML  |  1578689246 in plain Text format TXT  |  1578689246 in PDF (Portable Document Format) PDF  |  1578689246 in an XML format XML  formats.

NPI Number : 1578689246 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1578689246",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "FREEMAN",
    "FirstName": "FREDERIC",
    "MiddleName": "JOHN",
    "NamePrefix": "DR.",
    "NameSuffix": "II",
    "Credential": "B.SC.,D.C.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "5533 S ORANGE AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ORLANDO",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "32809-3492",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "407-616-7921",
    "MailingAddressFaxNumber": "407-858-9909",
    "FirstLinePracticeLocationAddress": "5533 S ORANGE AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ORLANDO",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "32809-3492",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "407-616-7921",
    "PracticeLocationAddressFaxNumber": "407-858-9909",
    "EnumerationDate": "03/22/2007",
    "LastUpdateDate": "07/08/2007",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "111N00000X",
        "TaxonomyName": "Chiropractor",
        "LicenseNumber": "CH8212",
        "LicenseNumberStateCode": "FL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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