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General NPI Number Information
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NPI Number | 1639344310
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Entity Type | Individual
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Provider Name | SHELDON YGNACIO FREEBERG M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/24/2008
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Last Update Date | 06/02/2023
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Provider Practice Location Address
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Address Line | 703 S FLEISHEL AVE SUITE 4000
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City | TYLER
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State | TX
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Zip | 75701-2015
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Country | US
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Telephone | 903-606-7000
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 846098
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City | DALLAS
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State | TX
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Zip | 75284-6098
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Country | US
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Telephone | 903-324-6450
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 57012461
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 036.123679
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | P6615
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License Number State | TX
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