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General NPI Number Information
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NPI Number | 1619107521
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Entity Type | Organization
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Legal Business Name | RICHARD N. FEUER, D.M.D. L.L.C.
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Dates
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Enumeration Date | 07/27/2009
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Last Update Date | 07/27/2009
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Provider Practice Location Address
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Address Line | 202A KINGS WAY W
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City | SEWELL
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State | NJ
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Zip | 08080-2200
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Country | US
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Telephone | 856-589-2298
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Fax | 856-589-7997
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Provider Business Mailing Address
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Address Line | 202A KINGS WAY W
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City | SEWELL
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State | NJ
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Zip | 08080-2200
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Country | US
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Telephone | 856-589-2298
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Fax | 856-589-7997
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Authorized Official
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Title or Position | OWNER
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Name | DR. RICHARD NEAL FEUER
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Credential | D.M.D.
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Telephone | 856-589-2298
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | DI15034
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License Number State | NJ
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