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General NPI Number Information
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NPI Number | 1649346032
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Entity Type | Individual
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Provider Name | BRIDGET FREEMAN MD
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Gender | Female
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Dates
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Enumeration Date | 11/28/2006
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Last Update Date | 09/12/2024
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Provider Practice Location Address
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Address Line | HEMOPHILIA OUTREACH CENTER 2060 BELLEVUE ST
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City | GREEN BAY
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State | WI
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Zip | 54311
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Country | US
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Telephone | 920-965-0606
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Fax |
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Provider Business Mailing Address
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Address Line | 1826 TIERRA VERDE DR
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City | ATLANTIC BEACH
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State | FL
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Zip | 32233-4527
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Country | US
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Telephone | 715-587-4904
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | EL151023
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License Number State | ME
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 4301091783
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | LT3572
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License Number State | NH
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Taxonomy #4
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Taxonomy Code | 2080P0207X
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Taxonomy Name | Pediatric Hematology & Oncology Physician
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License Number | ME53299
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License Number State | FL
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Taxonomy #5
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 42713
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License Number State | MT
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Taxonomy #6
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Taxonomy Code | 2080P0207X
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Taxonomy Name | Pediatric Hematology & Oncology Physician
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License Number | 68402
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License Number State | WI
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