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General NPI Number Information
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NPI Number | 1801448212
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Entity Type | Individual
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Provider Name | DAVID FELSKE MD
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Gender | Male
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Dates
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Enumeration Date | 07/15/2019
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Last Update Date | 06/19/2024
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Provider Practice Location Address
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Address Line | 130 FISHER RD MOB-A SUITE 3
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City | BERLIN
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State | VT
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Zip | 05602
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Country | US
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Telephone | 802-225-3980
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Fax |
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Provider Business Mailing Address
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Address Line | 111 COLCHESTER AVE # 564
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City | BURLINGTON
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State | VT
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Zip | 05401-1473
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Country | US
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Telephone | 802-847-0000
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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 | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | 042.0017622
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License Number State | VT
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