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General NPI Number Information
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NPI Number | 1710142898
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Entity Type | Organization
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Legal Business Name | JILL FELDHUN DC PC
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Dates
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Enumeration Date | 07/28/2008
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Last Update Date | 04/05/2010
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Provider Practice Location Address
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Address Line | 37 ATLANTIC AVE
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City | LYNBROOK
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State | NY
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Zip | 11563-3007
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Country | US
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Telephone | 516-593-3093
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Fax |
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Provider Business Mailing Address
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Address Line | 37 ATLANTIC AVE
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City | LYNBROOK
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State | NY
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Zip | 11563-3007
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Country | US
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Telephone | 516-593-3093
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JILL FELDHUN
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Credential |
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Telephone | 516-593-3093
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | X007697
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License Number State | NY
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