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General NPI Number Information
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NPI Number | 1134514540
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Entity Type | Individual
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Provider Name | SOPHIE CLAIRE FELLER M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/02/2015
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Last Update Date | 09/16/2025
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Provider Practice Location Address
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Address Line | 11500 W OLYMPIC BLVD STE 460
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City | LOS ANGELES
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State | CA
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Zip | 90064-1562
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Country | US
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Telephone | 323-676-2474
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Fax |
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Provider Business Mailing Address
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Address Line | 11500 W OLYMPIC BLVD STE 460
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City | LOS ANGELES
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State | CA
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Zip | 90064-1562
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | A161122
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 0101277061
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MD212909
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License Number State | OR
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Taxonomy #5
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 67044
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License Number State | TN
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Taxonomy #6
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 201464
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License Number State | AK
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Taxonomy #7
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | DR.0074158
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License Number State | CO
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Taxonomy #8
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | EMC0003820
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License Number State | MI
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Taxonomy #9
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 72606
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License Number State | MN
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