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General NPI Number Information
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NPI Number | 1972989929
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Entity Type | Organization
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Legal Business Name | FREEDOM EMS LLC
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Dates
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Enumeration Date | 07/31/2015
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Last Update Date | 09/08/2023
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Provider Practice Location Address
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Address Line | 612 S EDGEWATER LN
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City | SHOREWOOD
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State | IL
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Zip | 60404-9540
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Country | US
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Telephone | 815-274-1279
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Fax |
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Provider Business Mailing Address
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Address Line | 612 S EDGEWATER LN
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City | SHOREWOOD
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State | IL
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Zip | 60404-9540
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Country | US
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Telephone | 815-926-2022
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Fax | 815-926-2319
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | JOSEPH T SPIKER
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Credential |
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Telephone | 815-274-1279
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number |
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License Number State | IL
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