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General NPI Number Information
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NPI Number | 1164806196
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Entity Type | Organization
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Legal Business Name | FREEDOM CARE COMPANY
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Dates
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Enumeration Date | 07/20/2015
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Last Update Date | 07/20/2015
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Provider Practice Location Address
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Address Line | 575 LYNNHAVEN PKWY SUITE 310
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City | VIRGINIA BEACH
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State | VA
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Zip | 23452-7350
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Country | US
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Telephone | 757-270-1816
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Fax |
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Provider Business Mailing Address
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Address Line | 575 LYNNHAVEN PKWY SUITE 310
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City | VIRGINIA BEACH
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State | VA
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Zip | 23452-7350
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Country | US
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Telephone | 757-270-1816
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. TAMEKA DEBORAH FARRINGTON
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Credential | MBA, QMHP
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Telephone | 757-270-1816
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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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 | 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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Taxonomy #3
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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