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General NPI Number Information
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NPI Number | 1366548299
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Entity Type | Organization
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Legal Business Name | EMIL F.M. FELSKI, D.O., P. A.
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Dates
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Enumeration Date | 09/16/2006
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Last Update Date | 01/08/2013
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Provider Practice Location Address
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Address Line | 1120 STATE ROAD 436 STE 1000
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City | CASSELBERRY
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State | FL
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Zip | 32707-6183
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Country | US
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Telephone | 407-677-1234
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Fax |
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Provider Business Mailing Address
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Address Line | 812 BRIGHTWATER CIR
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City | MAITLAND
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State | FL
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Zip | 32751-4215
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Country | US
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Telephone | 407-645-2999
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | EMIL F.M. FELSKI
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Credential | D.O.
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Telephone | 407-677-1234
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | OS003318
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License Number State | FL
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