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General NPI Number Information
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NPI Number | 1376881656
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Entity Type | Individual
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Provider Name | DANIEL FELDMAN PH.D.
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Gender | Male
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Dates
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Enumeration Date | 01/22/2013
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Last Update Date | 08/11/2016
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Provider Practice Location Address
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Address Line | 15635 FIRE MOUNTAIN RD
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City | PAONIA
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State | CO
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Zip | 81428-4109
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Country | US
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Telephone | 970-527-4160
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Fax |
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Provider Business Mailing Address
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Address Line | 235 COURT ST
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City | NEWTOWN
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State | PA
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Zip | 18940-1913
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Country | US
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Telephone | 800-511-6150
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 3572
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 017998
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License Number State | PA
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