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General NPI Number Information
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NPI Number | 1942972088
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Entity Type | Organization
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Legal Business Name | FREEDOM KIDS ACADEMY
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Dates
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Enumeration Date | 09/28/2021
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Last Update Date | 02/07/2025
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Provider Practice Location Address
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Address Line | 5666 SEMINOLE BLVD STE 106
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City | SEMINOLE
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State | FL
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Zip | 33772-7328
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Country | US
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Telephone | 239-201-9338
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Fax | 561-516-7710
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Provider Business Mailing Address
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Address Line | 5666 SEMINOLE BLVD STE 106
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City | SEMINOLE
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State | FL
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Zip | 33772-7328
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Country | US
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Telephone | 239-201-9338
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Fax | 561-516-7710
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Authorized Official
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Title or Position | OWNER ADMINISTRATOR
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Name | EZEQUIEL VALDES
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Credential |
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Telephone | 813-850-2197
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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