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General NPI Number Information
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NPI Number | 1457925208
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Entity Type | Individual
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Provider Name | GEORGE FELEMEGOS M.D
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Gender | Male
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Dates
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Enumeration Date | 05/17/2021
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Last Update Date | 05/19/2025
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Provider Practice Location Address
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Address Line | 1500 N JAMES ST
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City | ROME
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State | NY
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Zip | 13440-2844
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Country | US
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Telephone | 315-338-7000
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Fax |
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Provider Business Mailing Address
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Address Line | 16001 WEST 9 MILE ROAD, 4 FISCHER ROOM 405
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City | SOUTHFIELD
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State | MI
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Zip | 48075
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Country | US
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Telephone | 247-849-3151
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Fax | 248-849-3222
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 4351049442
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License Number State | MI
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