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General NPI Number Information
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NPI Number | 1427378280
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Entity Type | Organization
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Legal Business Name | FELIX M GERMAN PHYSICIAN PC
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Dates
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Enumeration Date | 06/03/2010
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 1248 MONTAUK HWY
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City | WEST ISLIP
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State | NY
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Zip | 11795-4917
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Country | US
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Telephone | 631-669-6981
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Fax |
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Provider Business Mailing Address
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Address Line | 1248 MONTAUK HWY
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City | WEST ISLIP
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State | NY
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Zip | 11795-4917
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Country | US
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Telephone | 631-669-6981
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Fax |
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Authorized Official
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Title or Position | FAMILY PRACTICE
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Name | DR. FELIX M GERMAN
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Credential | M.D.,
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Telephone | 631-669-0707
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number | 104521
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License Number State | NY
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