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General NPI Number Information
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NPI Number | 1629331244
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Entity Type | Individual
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Provider Name | NATHANIEL T FIEDLER DPT, CERT MDT
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Gender | Male
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Dates
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Enumeration Date | 06/19/2012
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Last Update Date | 10/16/2024
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Provider Practice Location Address
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Address Line | 12975 COLLIER BLVD STE 102A
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City | NAPLES
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State | FL
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Zip | 34116-4004
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Country | US
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Telephone | 518-489-2524
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Fax | 518-489-3167
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Provider Business Mailing Address
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Address Line | 12975 COLLIER BLVD STE 102A
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City | NAPLES
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State | FL
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Zip | 34116-4004
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Country | US
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Telephone | 239-300-4779
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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 | PT37390
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License Number State | FL
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