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General NPI Number Information
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NPI Number | 1568685758
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Entity Type | Individual
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Provider Name | STUART M FELDMAN DPM
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Gender | Male
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Dates
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Enumeration Date | 04/10/2007
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Last Update Date | 03/05/2014
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Provider Practice Location Address
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Address Line | 8955 S PECOS RD SUITE 2-B
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City | HENDERSON
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State | NV
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Zip | 89074-7156
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Country | US
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Telephone | 702-407-2548
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Fax | 702-407-2549
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Provider Business Mailing Address
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Address Line | 8955 S PECOS RD SUITE 2-B
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City | HENDERSON
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State | NV
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Zip | 89074-7156
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Country | US
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Telephone | 702-407-2548
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Fax | 702-407-2549
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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 | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 0105
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License Number State | NV
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