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General NPI Number Information
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NPI Number | 1124102579
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Entity Type | Individual
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Provider Name | STUART FELDMAN RPH
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Gender | Male
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Dates
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Enumeration Date | 10/24/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 20 NORTH SALEM ROAD
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City | CROSS RIVER
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State | NY
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Zip | 10518
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Country | US
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Telephone | 914-763-3152
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Fax | 914-763-6567
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Provider Business Mailing Address
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Address Line | 80 STALLION TRL
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City | BREWSTER
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State | NY
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Zip | 10509-4707
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Country | US
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Telephone | 845-278-6399
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Fax | 914-763-6567
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 33683
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License Number State | NY
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