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General NPI Number Information
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NPI Number | 1689741993
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Entity Type | Individual
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Provider Name | KEVIN ANDREW FREEMAN PHD, LPC, NCC, MAC
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Gender | Male
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Dates
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Enumeration Date | 11/29/2006
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Last Update Date | 09/18/2024
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Provider Practice Location Address
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Address Line | 200 WESTPARK DR SUITE 325
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City | PEACHTREE CITY
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State | GA
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Zip | 30269-3534
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Country | US
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Telephone | 770-486-1140
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Fax | 678-669-2693
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Provider Business Mailing Address
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Address Line | 301 WYNSWEPT PT
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City | SENECA
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State | SC
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Zip | 29672-7084
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Country | US
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Telephone | 404-934-9244
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 4897
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License Number State | GA
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