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General NPI Number Information
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NPI Number | 1689239816
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Entity Type | Individual
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Provider Name | ROBERT J FELDER JR. LPCS-C
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Gender | Male
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Dates
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Enumeration Date | 05/02/2019
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Last Update Date | 02/21/2023
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Provider Practice Location Address
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Address Line | 117 ALPINE CIR STE 600
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City | COLUMBIA
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State | SC
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Zip | 29223-6526
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Country | US
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Telephone | 803-386-9323
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Fax | 803-753-9701
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Provider Business Mailing Address
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Address Line | 117 ALPINE CIR STE 600
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City | COLUMBIA
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State | SC
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Zip | 29223-6526
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Country | US
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Telephone | 803-386-9323
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Fax | 803-753-9701
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 7533
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License Number State | SC
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