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General NPI Number Information
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NPI Number | 1174611818
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Entity Type | Individual
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Provider Name | ELIZABETH MARILYNN FELTNER DPM
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Gender | Female
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Dates
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Enumeration Date | 10/10/2006
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Last Update Date | 05/06/2009
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Provider Practice Location Address
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Address Line | 1102 POPLAR STREET
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City | KENOVA
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State | WV
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Zip | 25530
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Country | US
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Telephone | 304-453-5458
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Fax | 304-453-5459
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Provider Business Mailing Address
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Address Line | PO BOX 183
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City | KENOVA
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State | WV
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Zip | 25530
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Country | US
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Telephone | 304-453-5458
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Fax | 304-453-5459
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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 | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 00375
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License Number State | WV
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Taxonomy #2
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 314
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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