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General NPI Number Information
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NPI Number | 1215131743
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Entity Type | Organization
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Legal Business Name | FELIX MEDICAL GROUP, INC.
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Dates
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Enumeration Date | 06/11/2007
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Last Update Date | 05/26/2022
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Provider Practice Location Address
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Address Line | 8990 GARFIELD STREET UNIT #8
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City | RIVERSIDE
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State | CA
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Zip | 92503
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Country | US
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Telephone | 951-248-0485
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Fax | 951-248-9267
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Provider Business Mailing Address
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Address Line | 8990 GARFIELD STREET UNIT #8
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City | RIVERSIDE
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State | CA
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Zip | 92503
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Country | US
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Telephone | 951-248-0485
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Fax | 951-248-9267
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Authorized Official
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Title or Position | OWNER/DOCTOR
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Name | DR. ALLEN C FELIX
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Credential | MD
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Telephone | 951-248-0485
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QS0010X
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Taxonomy Name | Sports Medicine (Family Medicine) Physician
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License Number | G75952
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License Number State | CA
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