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General NPI Number Information
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NPI Number | 1972070365
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Entity Type | Organization
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Legal Business Name | FREEDOM THROUGH EDUCATION CAMPUS
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Dates
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Enumeration Date | 10/24/2018
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Last Update Date | 10/24/2018
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Provider Practice Location Address
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Address Line | 3281 35TH AVE STE 2&4
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City | SACRAMENTO
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State | CA
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Zip | 95824-1068
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Country | US
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Telephone | 916-701-5113
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Fax | 916-840-5911
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Provider Business Mailing Address
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Address Line | PO BOX 60995
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City | SACRAMENTO
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State | CA
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Zip | 95860-0995
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Country | US
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Telephone | 916-217-5721
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Fax | 916-840-5911
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. WILLIAM ERNEST LANE
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Credential | PH.D.
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Telephone | 916-216-5721
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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