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General NPI Number Information
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NPI Number | 1013208685
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Entity Type | Individual
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Provider Name | MICHAEL H FREEMAN LCSW
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Gender | Male
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Dates
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Enumeration Date | 04/29/2011
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Last Update Date | 04/29/2011
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Provider Practice Location Address
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Address Line | 250 ANDERSON ST
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City | PORTLAND
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State | ME
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Zip | 04101-2545
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Country | US
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Telephone | 207-775-5671
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Fax | 207-871-1243
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Provider Business Mailing Address
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Address Line | 250 ANDERSON ST
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City | PORTLAND
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State | ME
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Zip | 04101-2545
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Country | US
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Telephone | 207-775-5671
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Fax | 207-871-1243
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LC5986
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License Number State | ME
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