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General NPI Number Information
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NPI Number | 1740493683
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Entity Type | Individual
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Provider Name | STEPHANIE R FELDMAN P.T.
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Gender | Female
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Dates
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Enumeration Date | 05/07/2007
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Last Update Date | 02/18/2018
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Provider Practice Location Address
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Address Line | 1441 N BECKLEY AVE
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City | DALLAS
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State | TX
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Zip | 75203-1201
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Country | US
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Telephone | 214-947-1863
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Fax |
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Provider Business Mailing Address
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Address Line | 8802 FOREST HILLS BLVD
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City | DALLAS
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State | TX
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Zip | 75218-4027
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Country | US
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Telephone | 214-353-7776
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Fax |
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT21451
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 1145464
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License Number State | TX
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