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General NPI Number Information
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NPI Number | 1972514693
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Entity Type | Organization
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Legal Business Name | FREEDOM ACQUISITION COMPANY
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Dates
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Enumeration Date | 08/10/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 5100 EDEN AVENUE SUITE 204
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City | EDINA
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State | MN
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Zip | 55436
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Country | US
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Telephone | 929-929-3456
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Fax | 952-929-3466
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Provider Business Mailing Address
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Address Line | 5100 EDEN AVENUE SUITE 204
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City | EDINA
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State | MN
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Zip | 55436
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Country | US
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Telephone | 929-929-3456
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Fax | 952-929-3466
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. DAVID WEBER
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Credential |
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Telephone | 952-929-3456
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number |
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License Number State |
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