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General NPI Number Information
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NPI Number | 1861673394
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Entity Type | Organization
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Legal Business Name | FREEDOM MEDICAL INC
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Dates
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Enumeration Date | 11/27/2007
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Last Update Date | 11/27/2007
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Provider Practice Location Address
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Address Line | 6714 CENTRAL AVENUE PIKE STE H
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City | KNOXVILLE
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State | TN
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Zip | 37912-1424
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Country | US
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Telephone | 865-696-2775
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Fax | 865-558-6131
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Provider Business Mailing Address
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Address Line | 6714 CENTRAL AVENUE PIKE STE H
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City | KNOXVILLE
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State | TN
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Zip | 37912-1424
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Country | US
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Telephone | 865-696-2775
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Fax | 865-558-6131
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. PATRICIA LYNN TORRES
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Credential | CRTT
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Telephone | 865-696-2775
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number |
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License Number State | TN
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