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General NPI Number Information
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NPI Number | 1750534640
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Entity Type | Individual
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Provider Name | KAREN M FELDMANN M.T.
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Gender | Female
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Dates
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Enumeration Date | 10/23/2008
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Last Update Date | 10/23/2008
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Provider Practice Location Address
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Address Line | 987 N OCEAN AVE
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City | MEDFORD
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State | NY
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Zip | 11763-3532
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Country | US
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Telephone | 631-834-9719
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Fax | 631-758-1660
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Provider Business Mailing Address
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Address Line | 18 VIRGINIA AVE
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City | LAKE RONKONKOMA
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State | NY
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Zip | 11779-1517
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Country | US
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Telephone | 631-834-9719
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Fax | 631-758-1660
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 006044
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License Number State | NY
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