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General NPI Number Information
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NPI Number | 1730341892
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Entity Type | Individual
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Provider Name | JON CHRISTOPH FEINAUER DDS
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Gender | Male
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Dates
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Enumeration Date | 06/30/2008
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Last Update Date | 09/09/2008
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Provider Practice Location Address
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Address Line | 380 E DIVISION ST
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City | ROCKFORD
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State | MI
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Zip | 49341-1306
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Country | US
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Telephone | 616-866-1017
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Fax | 616-866-1017
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Provider Business Mailing Address
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Address Line | 1016 N WASHINGTON AVE
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City | ROYAL OAK
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State | MI
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Zip | 48067-1238
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Country | US
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Telephone | 248-320-5695
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Fax | 248-320-5695
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 2901019859
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License Number State | MI
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