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General NPI Number Information
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NPI Number | 1225172075
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Entity Type | Individual
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Provider Name | DIANA FELDMAN M.D.
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Gender | Female
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Dates
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Enumeration Date | 02/16/2007
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Last Update Date | 11/01/2007
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Provider Practice Location Address
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Address Line | 525 EAST 68TH STREET # 140
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City | NEW YORK
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State | NY
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Zip | 10021
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Country | US
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Telephone | 212-746-5732
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Fax |
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Provider Business Mailing Address
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Address Line | 435 E 70TH ST APT 25A
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City | NEW YORK
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State | NY
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Zip | 10021-5348
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Country | US
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Telephone | 212-746-5732
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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 | 2084P0805X
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Taxonomy Name | Geriatric Psychiatry Physician
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License Number | 229838
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License Number State | NY
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