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General NPI Number Information
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NPI Number | 1740905298
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Entity Type | Organization
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Legal Business Name | DR. PETER FELSMAN PLLC
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Dates
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Enumeration Date | 10/06/2022
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Last Update Date | 10/06/2022
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Provider Practice Location Address
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Address Line | 715 W RIDGE ST
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City | MARQUETTE
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State | MI
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Zip | 49855-4124
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Country | US
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Telephone | 734-252-9725
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Fax | 810-652-8052
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Provider Business Mailing Address
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Address Line | 715 W RIDGE ST
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City | MARQUETTE
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State | MI
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Zip | 49855-4124
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Country | US
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Telephone | 734-252-9725
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Fax | 810-652-8052
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Authorized Official
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Title or Position | PROVIDER
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Name | DR. PETER FELSMAN
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Credential | LMSW
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Telephone | 734-252-9725
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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