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General NPI Number Information
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NPI Number | 1619990371
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Entity Type | Individual
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Provider Name | DAVID J FELDMAN M.D.
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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 | 01/22/2015
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Provider Practice Location Address
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Address Line | 16 POCONO RD SUITE 100
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City | DENVILLE
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State | NJ
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Zip | 07834-2901
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Country | US
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Telephone | 973-625-5700
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Fax | 973-625-3381
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Provider Business Mailing Address
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Address Line | 600 MOUNT PLEASANT AVE
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City | DOVER
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State | NJ
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Zip | 07801-1629
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Country | US
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Telephone | 973-989-0888
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Fax | 973-989-0885
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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 | 204C00000X
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Taxonomy Name | Sports Medicine (Neuromusculoskeletal Medicine) Physician
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License Number | 25MA04161300
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 25MA04161300
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License Number State | NJ
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