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General NPI Number Information
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NPI Number | 1144131962
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Entity Type | Individual
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Provider Name | JEREMY GORDON FREYE LMFT, M.DIV.
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Gender | Male
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Dates
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Enumeration Date | 09/14/2026
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Last Update Date | 09/14/2026
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Provider Practice Location Address
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Address Line | 1505 ORCHID AVE
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City | WINTER PARK
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State | FL
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Zip | 32789-5649
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Country | US
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Telephone | 407-644-4692
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Fax |
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Provider Business Mailing Address
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Address Line | 4465 DREAMY DAY ST APT 212
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City | APOPKA
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State | FL
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Zip | 32712-5395
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Country | US
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Telephone | 321-243-0356
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Fax |
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MT5594
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License Number State | FL
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