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General NPI Number Information
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NPI Number | 1023213402
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Entity Type | Individual
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Provider Name | LOUIS WILLIAM FEURINO III MD
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Gender | Male
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Dates
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Enumeration Date | 06/18/2007
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Last Update Date | 07/30/2015
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Provider Practice Location Address
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Address Line | 900 VICTORS WAY 240
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City | ANN ARBOR
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State | MI
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Zip | 48108-2705
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Country | US
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Telephone | 313-605-5330
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Fax | 734-661-0322
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Provider Business Mailing Address
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Address Line | 900 VICTORS WAY 240
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City | ANN ARBOR
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State | MI
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Zip | 48108-2705
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Country | US
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Telephone | 313-605-5330
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Fax | 734-661-0322
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 4301090405
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License Number State | MI
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