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General NPI Number Information
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NPI Number | 1447349063
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Entity Type | Individual
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Provider Name | MARVIN R FELDMAN D.M.D., P.A.
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Gender | Male
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Dates
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Enumeration Date | 10/12/2006
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Last Update Date | 12/11/2013
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Provider Practice Location Address
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Address Line | 224 S OLD DIXIE HWY
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City | JUPITER
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State | FL
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Zip | 33458-7487
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Country | US
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Telephone | 561-748-4488
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Fax | 561-748-7849
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Provider Business Mailing Address
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Address Line | 224 S OLD DIXIE HWY
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City | JUPITER
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State | FL
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Zip | 33458-7487
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Country | US
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Telephone | 561-748-4488
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Fax | 561-748-7849
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | DN14849
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License Number State | FL
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