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General NPI Number Information
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NPI Number | 1831227909
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Entity Type | Organization
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Legal Business Name | CHARLES T FRIES EDD PC
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Dates
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Enumeration Date | 03/01/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 3800 PALUXY DR SUITE 440
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City | TYLER
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State | TX
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Zip | 75703
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Country | US
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Telephone | 903-526-5550
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Fax | 903-526-5551
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Provider Business Mailing Address
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Address Line | 3800 PALUXY DR SUITE 440
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City | TYLER
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State | TX
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Zip | 75703
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Country | US
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Telephone | 903-526-5550
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Fax | 903-526-5551
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Authorized Official
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Title or Position | PRESIDENT CHARLES T FRIES EDD PC
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Name | DR. CHARLES T FRIES
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Credential | EDD
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Telephone | 903-526-5550
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 19298
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 17645
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 21305
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License Number State | TX
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