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General NPI Number Information
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NPI Number | 1770060600
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Entity Type | Organization
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Legal Business Name | THE FREEDOM CENTER, LLC
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Dates
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Enumeration Date | 07/24/2018
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Last Update Date | 08/20/2025
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Provider Practice Location Address
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Address Line | 202 PERRY PKWY STE 5
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City | GAITHERSBURG
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State | MD
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Zip | 20877-2172
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Country | US
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Telephone | 240-720-3103
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Fax | 240-306-1471
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Provider Business Mailing Address
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Address Line | 202 PERRY PKWY STE 5
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City | GAITHERSBURG
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State | MD
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Zip | 20877-2172
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Country | US
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Telephone | 240-720-3103
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Fax | 240-306-1471
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Authorized Official
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Title or Position | OWNER
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Name | SAMUEL KESARIS
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Credential |
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Telephone | 954-665-3826
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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