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General NPI Number Information
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NPI Number | 1508867979
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Entity Type | Individual
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Provider Name | ARLENE S FEDER MD
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Gender | Female
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Dates
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Enumeration Date | 08/09/2005
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Last Update Date | 09/21/2021
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Provider Practice Location Address
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Address Line | 651 COLLIERS WAY STE 412
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City | WEIRTON
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State | WV
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Zip | 26062-5055
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Country | US
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Telephone | 304-723-3400
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Fax | 304-723-3093
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Provider Business Mailing Address
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Address Line | 651 COLLIERS WAY STE 300
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City | WEIRTON
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State | WV
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Zip | 26062-5058
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Country | US
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Telephone | 304-797-6404
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Fax |
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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 | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | 12829
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License Number State | WV
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