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NPI 1770555286

NPI 1770555286 : ROBERT J. FREEDMAN JR. M.D. : ALEXANDRIA, LA

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General NPI Number Information
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    NPI Number           |    1770555286
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    Entity Type          |    Individual 
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    Provider Name        |    ROBERT J. FREEDMAN JR. M.D.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    02/07/2006
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    Last Update Date     |    01/03/2024
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Provider Practice Location Address
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    Address Line         |    3311 PRESCOTT RD SUITE 112
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    City                 |    ALEXANDRIA
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    State                |    LA
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    Zip                  |    71301-3900
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    Country              |    US
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    Telephone            |    318-767-3346
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    Fax                  |    318-767-0610
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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            |    903-606-6400
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    Fax                  |    903-606-1522
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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       |    MD.012386
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    License Number State |    LA
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Taxonomy #2
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    Taxonomy Code        |    207RC0000X
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    Taxonomy Name        |    Cardiovascular Disease Physician
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    License Number       |    MD.012386
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    License Number State |    LA
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