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General NPI Number Information
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NPI Number | 1700909520
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Entity Type | Organization
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Legal Business Name | FREEDOM HEALTHCARE INC.
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Dates
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Enumeration Date | 04/08/2007
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Last Update Date | 03/08/2024
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Provider Practice Location Address
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Address Line | 4401 N 22ND ST
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City | MCALLEN
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State | TX
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Zip | 78504-4145
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Country | US
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Telephone | 956-686-9948
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Fax | 956-686-9949
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Provider Business Mailing Address
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Address Line | 5111 N 10TH ST # 207
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City | MCALLEN
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State | TX
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Zip | 78504-2835
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Country | US
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Telephone | 956-686-9948
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Fax | 956-686-9949
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MELISSA LYNN VANDORN
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Credential | RN
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Telephone | 956-686-9948
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 011179
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License Number State | TX
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