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NPI 1497984058

NPI 1497984058 : DAVID FELGER O.D. : GRAND HAVEN, MI

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General NPI Number Information
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    NPI Number           |    1497984058
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    Entity Type          |    Individual 
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    Provider Name        |    DAVID FELGER O.D.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    07/03/2009
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    Last Update Date     |    01/30/2023
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Provider Practice Location Address
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    Address Line         |    17088 ROBBINS RD 
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    City                 |    GRAND HAVEN
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    State                |    MI
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    Zip                  |    49417-2791
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    Country              |    US
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    Telephone            |    616-846-4200
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    Fax                  |    616-846-4200
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Provider Business Mailing Address
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    Address Line         |    17088 ROBBINS RD 
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    City                 |    GRAND HAVEN
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    State                |    MI
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    Zip                  |    49417-2791
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    Country              |    US
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    Telephone            |    616-846-4200
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    Fax                  |    231-346-5926
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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        |    152W00000X
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    Taxonomy Name        |    Optometrist
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    License Number       |    4901004561
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    License Number State |    MI
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