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General NPI Number Information
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NPI Number | 1861736886
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Entity Type | Organization
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Legal Business Name | STEPHANIE E. FREEMAN, MD, PLLC
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Dates
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Enumeration Date | 11/15/2012
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Last Update Date | 02/11/2013
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Provider Practice Location Address
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Address Line | 2360 COUNTY ROAD 94 SUITE 108
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City | PEARLAND
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State | TX
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Zip | 77584-5136
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Country | US
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Telephone | 832-706-4603
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Fax |
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Provider Business Mailing Address
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Address Line | 2360 COUNTY ROAD 94 SUITE 108
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City | PEARLAND
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State | TX
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Zip | 77584-5136
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Country | US
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Telephone | 832-706-4603
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | STEPHANIE FREEMAN
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Credential | MD
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Telephone | 832-706-4603
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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 | P4444
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License Number State | TX
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