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General NPI Number Information
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NPI Number | 1932863560
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Entity Type | Organization
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Legal Business Name | FREEDOM HEALTHCARE
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Dates
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Enumeration Date | 10/29/2021
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Last Update Date | 10/29/2021
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Provider Practice Location Address
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Address Line | 471 HIGHWAY 23
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City | FOLEY
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State | MN
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Zip | 56329-9145
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Country | US
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Telephone | 320-309-4594
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Fax |
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Provider Business Mailing Address
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Address Line | 150 8TH AVE
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City | FOLEY
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State | MN
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Zip | 56329-9147
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | RICHARD E CASH
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Credential | MD
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Telephone | 320-309-4594
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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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