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General NPI Number Information
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NPI Number | 1548212558
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Entity Type | Organization
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Legal Business Name | DAF MEDICAL ASSOCIATES INC
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Dates
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Enumeration Date | 05/17/2006
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Last Update Date | 02/25/2022
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Provider Practice Location Address
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Address Line | 55 SHARON ANN LN
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City | EAST FALMOUTH
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State | MA
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Zip | 02536-6034
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Country | US
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Telephone | 617-549-5669
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Fax | 617-607-7543
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Provider Business Mailing Address
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Address Line | 55 SHARON ANN LN
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City | EAST FALMOUTH
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State | MA
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Zip | 02536-6034
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Country | US
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Telephone | 617-549-5669
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. ALLA FEYGINA
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Credential | M.D.
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Telephone | 781-438-4625
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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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 |
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License Number State |
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