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General NPI Number Information
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NPI Number | 1275022113
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Entity Type | Individual
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Provider Name | FREDERICK CARINGTON DO
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Gender | Male
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Dates
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Enumeration Date | 05/07/2018
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Last Update Date | 02/09/2024
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Provider Practice Location Address
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Address Line | 25311 LITTLE MACK AVE STE B
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City | SAINT CLAIR SHORES
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State | MI
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Zip | 48081-3301
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Country | US
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Telephone | 586-498-2400
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Fax | 586-498-2800
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Provider Business Mailing Address
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Address Line | 8301 RELIABLE PARKWAY
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City | CHICAGO
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State | IL
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Zip | 60686-0983
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Country | US
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Telephone |
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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 | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | 5101025783
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 5101025783
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License Number State | MI
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