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General NPI Number Information
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NPI Number | 1558035915
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Entity Type | Individual
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Provider Name | GUY FELDMAN
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Gender | Male
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Dates
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Enumeration Date | 08/08/2021
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Last Update Date | 08/08/2021
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Provider Practice Location Address
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Address Line | 5323 HARRY HINES BLVD STOP 7200
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City | DALLAS
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State | TX
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Zip | 75390-7200
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Country | US
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Telephone | 214-648-0706
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Fax |
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Provider Business Mailing Address
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Address Line | 3001 COMMUNICATIONS PKWY APT 2621
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City | PLANO
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State | TX
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Zip | 75093-8845
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Country | US
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Telephone | 214-584-7774
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | BP10074524
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License Number State | TX
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