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General NPI Number Information
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NPI Number | 1386463347
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Entity Type | Individual
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Provider Name | CAROLINE GABRIELLE FESSLER PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 10/07/2024
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Last Update Date | 06/09/2025
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Provider Practice Location Address
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Address Line | 12023 N RADIO STATION RD STE A
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City | SENECA
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State | SC
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Zip | 29678-1143
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Country | US
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Telephone | 864-985-0770
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Fax | 864-985-1770
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Provider Business Mailing Address
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Address Line | 2001 BUTTERFIELD RD STE 1600
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City | DOWNERS GROVE
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State | IL
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Zip | 60515-1211
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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