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General NPI Number Information
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NPI Number | 1801538608
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Entity Type | Individual
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Provider Name | MICHELLE FELDEN DMD
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Gender | Female
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Dates
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Enumeration Date | 04/12/2022
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Last Update Date | 07/17/2023
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Provider Practice Location Address
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Address Line | 1917 HOFFMAN RD
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City | GASTONIA
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State | NC
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Zip | 28054-6574
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Country | US
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Telephone | 980-321-7294
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Fax |
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Provider Business Mailing Address
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Address Line | 525 E 21ST ST APT 596
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City | CHARLOTTE
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State | NC
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Zip | 28206-3879
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Country | US
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Telephone | 330-329-1267
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 13165
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License Number State | NC
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