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General NPI Number Information
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NPI Number | 1396921987
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Entity Type | Organization
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Legal Business Name | RICHARD B. FELDMAN, D.P.M., LLC
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Dates
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Enumeration Date | 01/14/2008
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Last Update Date | 05/01/2008
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Provider Practice Location Address
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Address Line | 655 SAW MILL RD
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City | WEST HAVEN
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State | CT
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Zip | 06516-3964
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Country | US
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Telephone | 203-933-7477
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Fax | 203-931-1775
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Provider Business Mailing Address
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Address Line | 655 SAW MILL RD
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City | WEST HAVEN
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State | CT
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Zip | 06516-3964
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Country | US
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Telephone | 203-933-7477
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Fax | 203-931-1775
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Authorized Official
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Title or Position | PODIATRIST
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Name | DR. RICHARD BARRY FELDMAN
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Credential | D.P.M.
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Telephone | 203-933-7477
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QP1100X
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Taxonomy Name | Podiatric Clinic/Center
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License Number | 000242
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License Number State | CT
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