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General NPI Number Information
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NPI Number | 1215284203
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Entity Type | Organization
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Legal Business Name | FREEDOM HOUSE RESOURCE CENTER
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Dates
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Enumeration Date | 08/08/2012
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Last Update Date | 04/27/2024
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Provider Practice Location Address
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Address Line | 7080 ROLLING HILLS DR
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City | WATERFORD
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State | MI
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Zip | 48327-4156
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Country | US
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Telephone | 888-458-7995
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Fax |
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Provider Business Mailing Address
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Address Line | 419 BLOEDEL RESERVE WAY 101
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City | MARTINEZ
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State | GA
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Zip | 30907
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Country | US
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Telephone | 888-458-7995
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Fax |
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Authorized Official
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Title or Position | CEO FOUNDER
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Name | MRS. MARLENA PATRICE DANIEL
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Credential | CPEC
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Telephone | 888-458-7995
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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