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General NPI Number Information
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NPI Number | 1447331087
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Entity Type | Individual
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Provider Name | JONATHAN AMIR FEISTMANN MD
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Gender | Male
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Dates
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Enumeration Date | 10/18/2006
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Last Update Date | 09/13/2013
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Provider Practice Location Address
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Address Line | 20 E 9TH ST
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City | NEW YORK
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State | NY
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Zip | 10003-5944
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Country | US
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Telephone | 212-203-0999
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Fax | 212-202-4884
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Provider Business Mailing Address
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Address Line | 20 E 9TH ST
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City | NEW YORK
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State | NY
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Zip | 10003-5944
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Country | US
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Telephone | 212-203-0999
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Fax | 212-202-4884
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 240088
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 7604451-1205
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License Number State | UT
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Taxonomy #3
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | ME93051
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License Number State | FL
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