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General NPI Number Information
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NPI Number | 1063605947
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Entity Type | Individual
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Provider Name | HANNAH FELDMAN
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Gender | Female
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Dates
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Enumeration Date | 08/23/2007
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Last Update Date | 10/28/2011
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Provider Practice Location Address
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Address Line | 1000 TENTH AVENUE
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City | NEW YORK
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State | NY
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Zip | 10019-1147
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Country | US
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Telephone | 718-288-6457
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Fax |
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Provider Business Mailing Address
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Address Line | 1000 TENTH AVENUE
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City | NEW YORK
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State | NY
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Zip | 10019
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Country | US
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Telephone |
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 001882
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 010524
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License Number State | NY
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