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General NPI Number Information
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NPI Number | 1801209168
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Entity Type | Individual
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Provider Name | KEVIN MICHAEL FELTON CO, LO, FAAOP
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Gender | Male
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Dates
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Enumeration Date | 06/04/2014
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Last Update Date | 06/04/2014
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Provider Practice Location Address
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Address Line | 2222 WELBORN ST ORTHOTICS DEPARTMENT
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City | DALLAS
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State | TX
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Zip | 75219-3924
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Country | US
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Telephone | 214-559-7440
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Fax | 214-559-7473
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Provider Business Mailing Address
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Address Line | 2222 WELBORN ST ORTHOTICS DEPARTMENT
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City | DALLAS
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State | TX
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Zip | 75219-3924
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Country | US
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Telephone | 214-559-7440
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Fax | 214-559-7473
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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 | 222Z00000X
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Taxonomy Name | Orthotist
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License Number | 561
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License Number State | TX
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