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NPI 1497543391

NPI 1497543391 : CALEB T FRITEL DPT : PARK RAPIDS, MN

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General NPI Number Information
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    NPI Number           |    1497543391
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    Entity Type          |    Individual 
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    Provider Name        |    CALEB T FRITEL DPT
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    04/29/2025
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    Last Update Date     |    04/29/2025
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Provider Practice Location Address
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    Address Line         |    1103 1ST ST E 
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    City                 |    PARK RAPIDS
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    State                |    MN
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    Zip                  |    56470-1879
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    Country              |    US
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    Telephone            |    218-732-2858
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1702 UNIVERSITY DR S 
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    City                 |    FARGO
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    State                |    ND
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    Zip                  |    58103-4940
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    Country              |    US
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    Telephone            |    701-364-8000
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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 |    
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