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General NPI Number Information
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NPI Number | 1437348778
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Entity Type | Organization
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Legal Business Name | ROBERT E. FEISS, M.D.
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Dates
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Enumeration Date | 10/23/2007
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Last Update Date | 10/23/2007
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Provider Practice Location Address
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Address Line | 7770 TELEGRAPH RD STE E221
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City | VENTURA
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State | CA
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Zip | 93004-1570
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Country | US
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Telephone | 888-362-2968
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Fax | 805-642-1133
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Provider Business Mailing Address
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Address Line | 7770 TELEGRAPH RD STE E221
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City | VENTURA
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State | CA
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Zip | 93004-1570
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Country | US
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Telephone | 888-362-2968
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Fax | 805-642-1133
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. JILL BRUNKAN
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Credential |
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Telephone | 888-362-2968
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302F00000X
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Taxonomy Name | Exclusive Provider Organization
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License Number | W17289
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License Number State | CA
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