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General NPI Number Information
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NPI Number | 1073903027
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Entity Type | Individual
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Provider Name | INGRID FEDER D.V.M., PH.D
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Gender | Female
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Dates
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Enumeration Date | 01/29/2015
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Last Update Date | 01/29/2015
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Provider Practice Location Address
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Address Line | 3022 NORTHPARK DR
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City | KINGWOOD
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State | TX
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Zip | 77339-5114
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Country | US
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Telephone | 281-360-1500
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Fax |
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Provider Business Mailing Address
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Address Line | 2111 SUNSHINE POINT DR
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City | KINGWOOD
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State | TX
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Zip | 77345-1678
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Country | US
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Telephone | 281-723-2228
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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 | 174M00000X
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Taxonomy Name | Veterinarian
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License Number | 11643
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 174M00000X
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Taxonomy Name | Veterinarian
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License Number | 10782
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 174M00000X
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Taxonomy Name | Veterinarian
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License Number | 718
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License Number State | AK
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Taxonomy #4
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Taxonomy Code | 174M00000X
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Taxonomy Name | Veterinarian
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License Number | 8018
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License Number State | IA
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Taxonomy #5
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Taxonomy Code | 174M00000X
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Taxonomy Name | Veterinarian
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License Number | 6139
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License Number State | WI
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