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General NPI Number Information
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NPI Number | 1295048486
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Entity Type | Organization
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Legal Business Name | IRA E FELMAN MD
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Dates
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Enumeration Date | 07/16/2010
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Last Update Date | 09/18/2013
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Provider Practice Location Address
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Address Line | 433 N. 4TH STREET SUITE 216
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City | MONTEBELLO
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State | CA
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Zip | 90640-1236
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Country | US
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Telephone | 323-725-1700
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Fax | 323-725-1725
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Provider Business Mailing Address
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Address Line | 433 N. 4TH STREET SUITE 216
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City | MONTEBELLO
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State | CA
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Zip | 90640-1236
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Country | US
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Telephone | 323-725-1700
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Fax | 323-725-1725
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Authorized Official
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Title or Position | OWNER
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Name | IRA E FELMAN
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Credential | M.D.
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Telephone | 323-725-1700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | G37852
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License Number State | CA
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