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General NPI Number Information
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NPI Number | 1780714121
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Entity Type | Organization
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Legal Business Name | THE FREEDMAN GROUP
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Dates
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Enumeration Date | 03/06/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1950 SPECTRUM CIR SE SUITE B 316
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City | MARIETTA
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State | GA
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Zip | 30067-8479
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Country | US
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Telephone | 770-541-7401
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Fax |
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Provider Business Mailing Address
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Address Line | 1950 SPECTRUM CIR SE SUITE B 316
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City | MARIETTA
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State | GA
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Zip | 30067-8479
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Country | US
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Telephone | 770-541-7401
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. PEGGY A FREEDMAN
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Credential | OT
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Telephone | 770-541-7401
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number | 71
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License Number State | GA
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