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General NPI Number Information
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NPI Number | 1518152172
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Entity Type | Individual
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Provider Name | FREDERICK WILLIAM HOUTS M.D., M.S.
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Gender | Male
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Dates
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Enumeration Date | 09/07/2007
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Last Update Date | 06/03/2025
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Provider Practice Location Address
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Address Line | 400 4TH ST NW
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City | FARIBAULT
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State | MN
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Zip | 55021-5089
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Country | US
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Telephone | 507-384-6830
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Fax | 651-431-7757
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Provider Business Mailing Address
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Address Line | 400 4TH ST NW
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City | FARIBAULT
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State | MN
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Zip | 55021-5089
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Country | US
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Telephone | 507-384-6830
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Fax | 651-431-7757
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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 | 2084A0401X
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Taxonomy Name | Addiction Medicine (Psychiatry & Neurology) Physician
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License Number | 61077
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 2084A0401X
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Taxonomy Name | Addiction Medicine (Psychiatry & Neurology) Physician
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License Number | 7312
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License Number State | AK
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Taxonomy #3
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Taxonomy Code | 2084F0202X
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Taxonomy Name | Forensic Psychiatry Physician
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License Number | 7312
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License Number State | AK
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Taxonomy #4
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Taxonomy Code | 2084F0202X
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Taxonomy Name | Forensic Psychiatry Physician
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License Number | 61007
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License Number State | MN
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Taxonomy #5
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 7312
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License Number State | AK
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Taxonomy #6
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 61007
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License Number State | MN
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