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General NPI Number Information
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NPI Number | 1275686412
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Entity Type | Individual
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Provider Name | ELAD FELDMAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/19/2007
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Last Update Date | 03/21/2017
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Provider Practice Location Address
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Address Line | 123 FRANKLIN CORNER RD SUITE 207
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City | LAWRENCEVILLE
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State | NJ
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Zip | 08648-2526
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Country | US
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Telephone | 609-896-9448
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Fax | 609-896-7052
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Provider Business Mailing Address
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Address Line | 123 FRANKLIN CORNER RD STE 207
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City | LAWRENCEVILLE
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State | NJ
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Zip | 08648-2526
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Country | US
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Telephone | 609-450-7300
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Fax | 609-896-7052
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | MA084512
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License Number State | NJ
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