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General NPI Number Information
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NPI Number | 1982900031
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Entity Type | Individual
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Provider Name | WILLIAM FRERES
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Gender | Male
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Dates
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Enumeration Date | 02/08/2011
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Last Update Date | 05/13/2025
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Provider Practice Location Address
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Address Line | 5215 SOUTH BLVD STE A
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City | CHARLOTTE
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State | NC
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Zip | 28217-2771
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Country | US
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Telephone | 704-525-6288
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Fax |
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Provider Business Mailing Address
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Address Line | 400 E MOREHEAD ST STE 202
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City | CHARLOTTE
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State | NC
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Zip | 28202-2610
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Country | US
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Telephone | 309-751-7643
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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 | 13031
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | P13031
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License Number State | NC
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