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General NPI Number Information
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NPI Number | 1659845865
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Entity Type | Individual
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Provider Name | MARIS LYNNE FEINMAN OD
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Gender | Female
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Dates
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Enumeration Date | 01/22/2019
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Last Update Date | 01/22/2019
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Provider Practice Location Address
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Address Line | 130 N ROUTE 303 STE 6
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City | WEST NYACK
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State | NY
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Zip | 10994-2034
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Country | US
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Telephone | 845-348-3236
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Fax |
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Provider Business Mailing Address
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Address Line | 3 NUTHATCH LN
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City | WEST NYACK
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State | NY
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Zip | 10994-1112
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Country | US
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Telephone | 914-391-5184
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | T004115-1
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License Number State | NY
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