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General NPI Number Information
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NPI Number | 1871788638
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Entity Type | Organization
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Legal Business Name | FREEMAN HOUSE INC.
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Dates
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Enumeration Date | 09/13/2007
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Last Update Date | 09/13/2007
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Provider Practice Location Address
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Address Line | 1806 E ASH ST
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City | GOLDSBORO
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State | NC
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Zip | 27530-4045
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Country | US
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Telephone | 919-722-6019
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Fax | 919-751-8575
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Provider Business Mailing Address
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Address Line | 127 SANDY DR
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City | GOLDSBORO
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State | NC
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Zip | 27534-8864
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Country | US
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Telephone | 919-751-0117
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Fax | 919-751-8575
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. ROBERT E FREEMAN
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Credential |
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Telephone | 919-751-0017
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320600000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Residential Treatment Facility
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License Number | MHL906201
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License Number State | NC
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