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General NPI Number Information
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NPI Number | 1518066497
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Entity Type | Individual
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Provider Name | ROBERT A FELD MD
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Gender | Male
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Dates
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Enumeration Date | 09/21/2006
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Last Update Date | 09/17/2010
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Provider Practice Location Address
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Address Line | 205 EAST MAIN ST STE 2-4
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City | HUNTINGTON
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State | NY
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Zip | 11743-7918
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Country | US
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Telephone | 631-673-6868
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Fax | 631-673-5824
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Provider Business Mailing Address
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Address Line | 205 EAST MAIN ST STE 2-4
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City | HUNTINGTON
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State | NY
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Zip | 11743-7918
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Country | US
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Telephone | 631-673-6868
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Fax | 631-673-5824
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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 | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 150123
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License Number State | NY
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