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General NPI Number Information
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NPI Number | 1336100031
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Entity Type | Individual
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Provider Name | CAROLINE J FELTY MD
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Gender | Female
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Dates
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Enumeration Date | 03/31/2006
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Last Update Date | 12/29/2020
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Provider Practice Location Address
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Address Line | 2801 WOODRUFF RD STE 201
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City | SIMPSONVILLE
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State | SC
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Zip | 29681-4807
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Country | US
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Telephone | 864-849-9466
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Fax | 864-849-9166
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Provider Business Mailing Address
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Address Line | PO BOX 743070
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City | ATLANTA
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State | GA
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Zip | 30374-3070
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Country | US
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Telephone | 864-560-4304
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Fax | 864-560-4413
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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 | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | 0101242358
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | 22916
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License Number State | SC
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