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General NPI Number Information
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NPI Number | 1124333976
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Entity Type | Individual
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Provider Name | EVELYN FENG MD
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Gender | Female
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Dates
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Enumeration Date | 08/17/2010
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Last Update Date | 08/17/2010
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Provider Practice Location Address
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Address Line | 16 FARRINGTON PLZ
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City | SOMERSET
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State | NJ
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Zip | 08873-7298
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Country | US
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Telephone | 212-362-8528
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Fax |
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Provider Business Mailing Address
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Address Line | 16 FARRINGTON PLAZA
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City | SOMERSET
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State | NJ
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Zip | 08873
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Country | US
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Telephone | 212-362-8528
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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 | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | 208274
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License Number State | NY
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