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General NPI Number Information
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NPI Number | 1821144395
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Entity Type | Individual
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Provider Name | PHILIP M FELDMAN MD
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Gender | Male
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Dates
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Enumeration Date | 01/26/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 6 WHITE HORSE PIKE
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City | HADDON HEIGHTS
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State | NJ
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Zip | 08035-1246
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Country | US
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Telephone | 856-547-2822
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Fax | 215-848-3659
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Provider Business Mailing Address
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Address Line | 2979 W SCHOOL HOUSE LANE APT K 804
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City | PHILADELPHIA
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State | PA
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Zip | 19144-5356
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Country | US
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Telephone | 215-848-6216
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Fax | 215-848-3659
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MD00755418
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License Number State | NJ
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