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General NPI Number Information
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NPI Number | 1285726083
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Entity Type | Individual
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Provider Name | MARC FELTS MD
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Gender | Male
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Dates
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Enumeration Date | 09/29/2006
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Last Update Date | 03/19/2020
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Provider Practice Location Address
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Address Line | 1110 SAINT MARYS RD SUITE 400
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City | JUNCTION CITY
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State | KS
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Zip | 66441-4176
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Country | US
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Telephone | 785-762-2585
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Fax |
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Provider Business Mailing Address
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Address Line | 1106 SAINT MARYS RD STE 201
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City | JUNCTION CITY
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State | KS
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Zip | 66441-4841
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Country | US
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Telephone | 785-762-5140
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 0421032
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 04-21032
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License Number State | KS
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