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General NPI Number Information
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NPI Number | 1134031156
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Entity Type | Organization
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Legal Business Name | FREEDOM WELLNESS SOLUTIONS
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Dates
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Enumeration Date | 09/22/2026
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Last Update Date | 09/22/2026
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Provider Practice Location Address
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Address Line | 4315 WENTWORTH RD
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City | GWYNN OAK
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State | MD
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Zip | 21207-7476
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Country | US
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Telephone | 443-527-9900
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Fax |
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Provider Business Mailing Address
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Address Line | 1107 DUNDALK AVE
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City | BALTIMORE
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State | MD
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Zip | 21224-3020
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PROGRAM DIRECTOR
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Name | MICHAEL DACRE
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Credential |
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Telephone | 443-527-9900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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