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General NPI Number Information
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NPI Number | 1063610335
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Entity Type | Individual
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Provider Name | BRADLEY FEUER D.O., J.D.
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Gender | Male
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Dates
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Enumeration Date | 07/06/2007
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Last Update Date | 03/21/2025
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Provider Practice Location Address
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Address Line | TROOP L BUILDING 9330 MILE POST 94 FLORIDA'S TURNPIKE
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City | LAKE WORTH
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State | FL
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Zip | 33467
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Country | US
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Telephone | 850-296-8161
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Fax | 888-980-5924
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Provider Business Mailing Address
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Address Line | TROOP L BUILDING 9330 MILE POST 94 FLORIDA'S TURNPIKE
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City | LAKE WORTH
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State | FL
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Zip | 33467
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | OS0005328
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 209800000X
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Taxonomy Name | Legal Medicine (M.D./D.O.) Physician
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License Number | OS0005328
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License Number State | FL
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