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General NPI Number Information
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NPI Number | 1467715771
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Entity Type | Individual
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Provider Name | ERIC JAY FEUCHTBAUM MD
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Gender | Male
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Dates
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Enumeration Date | 06/21/2012
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Last Update Date | 06/26/2023
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Provider Practice Location Address
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Address Line | 10215 FERNWOOD RD STE 506
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City | BETHESDA
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State | MD
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Zip | 20817-1184
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Country | US
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Telephone | 301-530-1010
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Fax | 301-897-8597
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Provider Business Mailing Address
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Address Line | 10215 FERNWOOD RD STE 506
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City | BETHESDA
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State | MD
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Zip | 20817-1184
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Country | US
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Telephone | 301-530-1010
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Fax | 301-897-8597
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 2012019668
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | D0085607
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 207XS0117X
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Taxonomy Name | Orthopaedic Surgery of the Spine Physician
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License Number | D0085607
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License Number State | MD
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