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General NPI Number Information
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NPI Number | 1023026143
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Entity Type | Organization
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Legal Business Name | THEODORE S. FEIT, M.D., INC.
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Dates
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Enumeration Date | 08/04/2006
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Last Update Date | 11/21/2024
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Provider Practice Location Address
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Address Line | 10918 RIVERSIDE DR # A
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City | NORTH HOLLYWOOD
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State | CA
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Zip | 91602-2210
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Country | US
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Telephone | 818-636-6463
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Fax | 818-345-3533
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Provider Business Mailing Address
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Address Line | 10918 RIVERSIDE DR # A10918
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City | NORTH HOLLYWOOD
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State | CA
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Zip | 91602-2210
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Country | US
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Telephone | 818-636-6463
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Fax | 818-345-3533
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. THEODORE S. FEIT
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Credential | M.D.
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Telephone | 818-843-7462
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | G32804
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License Number State | CA
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