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General NPI Number Information
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NPI Number | 1780333609
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Entity Type | Organization
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Legal Business Name | FREEDOM MEDICAL CLINIC ASSESSMENT AND MANAGEMENT
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Dates
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Enumeration Date | 03/18/2022
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Last Update Date | 06/10/2025
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Provider Practice Location Address
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Address Line | 4239 PENN AVE STE 10
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City | SINKING SPRING
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State | PA
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Zip | 19608-1373
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Country | US
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Telephone | 610-507-9515
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Fax |
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Provider Business Mailing Address
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Address Line | 4239 PENN AVE STE 10
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City | SINKING SPRING
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State | PA
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Zip | 19608-1373
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Country | US
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Telephone | 610-507-9515
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Fax |
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Authorized Official
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Title or Position | CRNP
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Name | MS. IHUARULAM CHIDIEBERE OKOROJI
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Credential | NURSE PRACTITIONER
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Telephone | 610-507-9515
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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