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General NPI Number Information
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NPI Number | 1174093488
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Entity Type | Individual
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Provider Name | BOBBY E FELICIE MR.FELICIE
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Gender | Male
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Dates
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Enumeration Date | 11/29/2018
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Last Update Date | 04/12/2021
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Provider Practice Location Address
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Address Line | 3205 OXFORD AVE 10
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City | BRONX
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State | NY
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Zip | 10463
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Country | US
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Telephone | 917-916-7692
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Fax |
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Provider Business Mailing Address
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Address Line | 3205 OXFORD AVE 10
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City | THE BRONX
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State | NY
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Zip | 10463
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Country | US
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Telephone | 917-300-8523
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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 | 2083P0901X
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Taxonomy Name | Public Health & General Preventive Medicine Physician
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License Number | 572462C
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 2278S1500X
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Taxonomy Name | SNF/Subacute Care Certified Respiratory Therapist
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License Number | 4005478
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 103TP2701X
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Taxonomy Name | Group Psychotherapy Psychologist
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License Number | S1901902
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License Number State | VA
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Taxonomy #4
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 036483
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License Number State | FL
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