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General NPI Number Information
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NPI Number | 1700091055
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Entity Type | Organization
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Legal Business Name | MILLIE R FELL MD PC
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Dates
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Enumeration Date | 05/11/2007
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 2025 KINGS HWY
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City | BROOKLYN
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State | NY
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Zip | 11229-1463
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Country | US
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Telephone | 718-339-6868
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Fax | 718-627-7219
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Provider Business Mailing Address
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Address Line | 2025 KINGS HWY
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City | BROOKLYN
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State | NY
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Zip | 11229-1463
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Country | US
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Telephone | 718-339-6868
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Fax | 718-627-7219
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Authorized Official
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Title or Position | MD
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Name | DR. MILLIE R FELL
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Credential | MD
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Telephone | 718-339-6868
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State | NY
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