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General NPI Number Information
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NPI Number | 1417282138
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Entity Type | Individual
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Provider Name | PATRICIA FREIDEL D.O.
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Gender | Female
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Dates
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Enumeration Date | 10/14/2009
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Last Update Date | 08/05/2022
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Provider Practice Location Address
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Address Line | 107 BRIDGEWAY ST
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City | AURORA
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State | IN
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Zip | 47001-1378
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Country | US
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Telephone | 812-496-8785
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Fax | 812-926-0431
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Provider Business Mailing Address
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Address Line | PO BOX 635283
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City | CINCINNATI
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State | OH
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Zip | 45263-5283
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Country | US
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Telephone | 859-344-5555
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Fax | 859-344-5552
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 34.010082
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 03505
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 02005609A
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License Number State | IN
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