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General NPI Number Information
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NPI Number | 1801815642
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Entity Type | Individual
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Provider Name | MARTIN STANLEY FEIGENBAUM M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/19/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 551 NATIONAL HEALTH CARE DR
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City | DAYTONA BEACH
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State | FL
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Zip | 32114-1495
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Country | US
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Telephone | 386-323-7500
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Fax | 386-323-7582
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Provider Business Mailing Address
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Address Line | 75 BANYAN DR
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City | ORMOND BEACH
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State | FL
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Zip | 32176-4133
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Country | US
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Telephone | 386-441-3277
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME 15852
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License Number State | FL
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