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General NPI Number Information
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NPI Number | 1164024238
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Entity Type | Organization
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Legal Business Name | FREELEE INTEGRATED HEALTH WEALTH LLC
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Dates
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Enumeration Date | 11/12/2020
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Last Update Date | 01/29/2024
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Provider Practice Location Address
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Address Line | 3125 NEW CASTLE AVE STE 3
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City | NEW CASTLE
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State | DE
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Zip | 19720-2174
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Country | US
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Telephone | 302-277-7161
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Fax | 302-566-2853
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Provider Business Mailing Address
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Address Line | 3125 NEW CASTLE AVE STE 3
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City | NEW CASTLE
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State | DE
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Zip | 19720-2174
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Country | US
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Telephone | 302-277-7161
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Fax | 302-566-2853
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Authorized Official
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Title or Position | OWNER/HOLISTIC HEALTH PRACTITIONER
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Name | DR. KEONNA FREEMAN
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Credential | DSOCSCI, BCHHP, CFLE
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Telephone | 302-607-8053
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171400000X
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Taxonomy Name | Health & Wellness Coach
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 175F00000X
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Taxonomy Name | Naturopath
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 405300000X
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Taxonomy Name | Prevention Professional
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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