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General NPI Number Information
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NPI Number | 1265242952
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Entity Type | Organization
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Legal Business Name | BRUCE A. FELIX, O.D., P.C.
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Dates
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Enumeration Date | 01/13/2025
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Last Update Date | 01/13/2025
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Provider Practice Location Address
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Address Line | 300 WALMART DR
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City | EBENSBURG
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State | PA
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Zip | 15931-4212
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Country | US
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Telephone | 814-471-0591
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Fax |
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Provider Business Mailing Address
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Address Line | 988 BRUNSON SPRING RD
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City | GALIVANTS FERRY
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State | SC
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Zip | 29544-8619
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Country | US
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Telephone | 814-244-8352
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Fax | 843-365-0289
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Authorized Official
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Title or Position | DOCTOR
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Name | BRUCE FELIX
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Credential | OD
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Telephone | 814-244-8352
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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