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General NPI Number Information
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NPI Number | 1730835232
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Entity Type | Organization
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Legal Business Name | FREEDOM SCIENTIFIC DIAGNOSTICS LLC
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Dates
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Enumeration Date | 02/23/2022
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Last Update Date | 06/15/2022
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Provider Practice Location Address
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Address Line | 417 E BALTIMORE ST STE F1
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City | TANEYTOWN
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State | MD
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Zip | 21787-2300
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Country | US
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Telephone | 443-971-1522
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Fax |
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Provider Business Mailing Address
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Address Line | 417 E BALTIMORE ST STE F1
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City | TANEYTOWN
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State | MD
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Zip | 21787-2300
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Country | US
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Telephone | 908-809-5084
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Fax |
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | ROD BLOCK
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Credential |
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Telephone | 908-809-5084
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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