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General NPI Number Information
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NPI Number | 1952319303
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Entity Type | Individual
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Provider Name | STEPHANIE FREELS M.D.
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Gender | Female
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Dates
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Enumeration Date | 08/03/2006
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Last Update Date | 08/25/2025
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Provider Practice Location Address
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Address Line | 2570 NILES RD
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City | SAINT JOSEPH
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State | MI
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Zip | 49085-3203
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Country | US
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Telephone | 269-321-7546
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Fax | 269-321-1705
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Provider Business Mailing Address
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Address Line | 206 S JAMESON ST
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City | NEW BUFFALO
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State | MI
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Zip | 49117-1439
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Country | US
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Telephone | 630-776-1134
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 036-071166
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207NS0135X
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Taxonomy Name | Procedural Dermatology Physician
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License Number | 036071166
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License Number State | IL
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