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General NPI Number Information
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NPI Number | 1164481438
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Entity Type | Individual
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Provider Name | VERLIS W FELKINS JR. PA-C
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Gender | Male
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Dates
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Enumeration Date | 03/23/2006
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Last Update Date | 12/19/2011
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Provider Practice Location Address
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Address Line | 100 BRANDON ST.
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City | UTOPIA
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State | TX
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Zip | 78884
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Country | US
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Telephone | 830-966-6140
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Fax | 830-966-6141
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Provider Business Mailing Address
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Address Line | PO BOX 364
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City | UTOPIA
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State | TX
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Zip | 78884-0364
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Country | US
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Telephone | 361-436-0552
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA01235
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License Number State | TX
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