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General NPI Number Information
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NPI Number | 1750782249
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Entity Type | Organization
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Legal Business Name | ELYSSA J. FEINBERG, MD PC
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Dates
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Enumeration Date | 09/16/2014
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Last Update Date | 09/16/2014
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Provider Practice Location Address
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Address Line | 850 ERICKSON LN
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City | FOSTER CITY
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State | CA
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Zip | 94404-2913
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Country | US
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Telephone | 650-576-9495
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Fax |
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Provider Business Mailing Address
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Address Line | 850 ERICKSON LN
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City | FOSTER CITY
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State | CA
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Zip | 94404-2913
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. ELYSSA FEINBERG
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Credential | MD
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Telephone | 650-576-9495
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | A119564
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License Number State | CA
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