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General NPI Number Information
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NPI Number | 1568484590
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Entity Type | Individual
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Provider Name | ADRIAN DOUGLAS FEINERMAN MD
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Gender | Male
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Dates
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Enumeration Date | 07/25/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 501 W ILLINOIS ST
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City | STEELEVILLE
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State | IL
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Zip | 62288-1322
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Country | US
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Telephone | 618-965-9266
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Fax | 618-965-9508
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Provider Business Mailing Address
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Address Line | 501 W. ILLINOIS ST.
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City | STEELEVILLE
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State | IL
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Zip | 62288
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Country | US
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Telephone | 618-965-9266
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Fax | 618-965-9508
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State | IL
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