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General NPI Number Information
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NPI Number | 1801699947
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Entity Type | Individual
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Provider Name | NADEZHDA A FELDER
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Gender | Female
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Dates
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Enumeration Date | 03/31/2025
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Last Update Date | 03/31/2025
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Provider Practice Location Address
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Address Line | 1100 ALLIED DR
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City | PLANO
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State | TX
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Zip | 75093-5348
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Country | US
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Telephone | 469-814-4280
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Fax |
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Provider Business Mailing Address
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Address Line | 802 CINNABAR WAY
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City | PRINCETON
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State | TX
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Zip | 75407-3248
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Country | US
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Telephone | 903-268-4833
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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 | 246ZC0007X
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Taxonomy Name | Surgical Assistant
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License Number | 196079
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License Number State | TX
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