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General NPI Number Information
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NPI Number | 1912576331
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Entity Type | Individual
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Provider Name | BRIAN FREEMAN LCSW
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Gender | Male
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Dates
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Enumeration Date | 06/21/2021
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Last Update Date | 05/14/2025
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Provider Practice Location Address
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Address Line | 18 MDG OPC 80 BOX 5217
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City | APO
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State | AP
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Zip | 96368-5217
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Country | US
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Telephone | 315-630-4780
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Fax |
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Provider Business Mailing Address
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Address Line | PSC 557 BOX 3230
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City | FPO
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State | AP
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Zip | 96379-0033
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Country | US
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Telephone | 917-567-2284
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | P103817
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 096989
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License Number State | NY
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