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General NPI Number Information
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NPI Number | 1730147851
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Entity Type | Individual
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Provider Name | FREDERICK J. SEIDEL MD
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Gender | Male
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Dates
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Enumeration Date | 05/01/2006
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 340 PEAK ONE DR
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City | FRISCO
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State | CO
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Zip | 80443
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Country | US
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Telephone | 717-461-6754
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1230
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City | SILVERTHORNE
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State | CO
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Zip | 80498-1230
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Country | US
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Telephone | 717-461-6754
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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 | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | DR.0051602
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License Number State | CO
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