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General NPI Number Information
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NPI Number | 1861484826
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Entity Type | Individual
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Provider Name | DANIEL L FREBERG DO
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Gender | Male
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Dates
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Enumeration Date | 08/16/2005
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Last Update Date | 09/19/2023
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Provider Practice Location Address
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Address Line | 1100 N COLLEGE AVE
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City | FAYETTEVILLE
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State | AR
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Zip | 72703-1944
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Country | US
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Telephone | 479-443-4301
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Fax | 479-587-5929
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Provider Business Mailing Address
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Address Line | 706 MADISON 7353
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City | HINDSVILLE
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State | AR
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Zip | 72738-5021
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Country | US
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Telephone | 602-881-4000
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Fax | 602-641-6631
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 3255
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License Number State | AZ
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