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General NPI Number Information
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NPI Number | 1285965251
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Entity Type | Individual
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Provider Name | REBECCA FELDMAN PMHNP, CNM
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Gender | Female
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Dates
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Enumeration Date | 01/14/2010
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 7559 263RD ST
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City | GLEN OAKS
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State | NY
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Zip | 11004-1150
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Country | US
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Telephone | 917-855-7859
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Fax |
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Provider Business Mailing Address
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Address Line | 75-59 263RD ST. ZUCKER HILLSIDE HOSPITAL
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City | GLEN OAKS
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State | NY
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Zip | 11004
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Country | US
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Telephone | 917-855-7859
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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 | 176B00000X
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Taxonomy Name | Midwife
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License Number | F001373
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 9834963
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License Number State | NY
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