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General NPI Number Information
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NPI Number | 1992678866
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Entity Type | Organization
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Legal Business Name | FREEDOM PRIMARY CARE PI LLC
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Dates
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Enumeration Date | 09/26/2025
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Last Update Date | 09/26/2025
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Provider Practice Location Address
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Address Line | 17500 N PERIMETER DR
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City | SCOTTSDALE
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State | AZ
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Zip | 85255-7800
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Country | US
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Telephone | 480-956-1180
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Fax |
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Provider Business Mailing Address
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Address Line | 17500 N PERIMETER DR
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City | SCOTTSDALE
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State | AZ
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Zip | 85255-7800
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Country | US
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Telephone | 480-956-1180
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Fax |
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | DIANA SHEEHAN
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Credential |
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Telephone | 480-535-6300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number |
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License Number State |
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