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General NPI Number Information
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NPI Number | 1730308545
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Entity Type | Organization
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Legal Business Name | MARTIN A FELDMAN DO PC
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Dates
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Enumeration Date | 04/24/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3229 E GREENWAY RD SUITE 101
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City | PHOENIX
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State | AZ
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Zip | 85032-4508
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Country | US
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Telephone | 602-942-3750
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Fax | 602-942-4245
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Provider Business Mailing Address
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Address Line | 3229 E GREENWAY RD SUITE 101
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City | PHOENIX
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State | AZ
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Zip | 85032-4508
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Country | US
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Telephone | 602-942-3750
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Fax | 602-942-4245
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Authorized Official
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Title or Position | PRESIDENT
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Name | MARTIN A FELDMAN
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Credential | DO
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Telephone | 602-942-3750
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 2104
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License Number State | AZ
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