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General NPI Number Information
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NPI Number | 1033116785
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Entity Type | Individual
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Provider Name | DAVID ALAN FEMOVICH MD
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Gender | Male
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Dates
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Enumeration Date | 07/07/2005
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Last Update Date | 10/03/2024
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Provider Practice Location Address
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Address Line | 4100 REGENT ST # 4-H
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City | COLUMBUS
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State | OH
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Zip | 43219-6153
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Country | US
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Telephone | 380-267-3602
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Fax |
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Provider Business Mailing Address
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Address Line | 17 WOODLAND DR
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City | OIL CITY
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State | PA
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Zip | 16301-2079
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Country | US
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Telephone | 814-673-5753
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Fax | 814-677-8212
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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 | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | 35.135166
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 2086S0122X
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Taxonomy Name | Plastic and Reconstructive Surgery Physician
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License Number | 042289E
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License Number State | PA
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