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General NPI Number Information
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NPI Number | 1689026775
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Entity Type | Organization
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Legal Business Name | FREEDOM DIALYSIS INC
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Dates
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Enumeration Date | 07/13/2016
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Last Update Date | 05/31/2023
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Provider Practice Location Address
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Address Line | 7746 HIGHWAY 6 STE C
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City | MISSOURI CITY
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State | TX
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Zip | 77459-4778
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Country | US
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Telephone | 212-300-3484
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Fax |
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Provider Business Mailing Address
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Address Line | 7746 HIGHWAY 6 STE C
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City | MISSOURI CITY
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State | TX
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Zip | 77459-4778
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Country | US
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Telephone | 212-300-3484
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. MANAF ALROUMOH
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Credential | MD
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Telephone | 212-300-3484
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QE0700X
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Taxonomy Name | End-Stage Renal Disease (ESRD) Treatment Clinic/Center
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License Number |
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License Number State |
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