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General NPI Number Information
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NPI Number | 1821217811
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Entity Type | Organization
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Legal Business Name | LF MD PA DBA LAWRENCE FELDMAN MD ASSOC
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Dates
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Enumeration Date | 04/25/2007
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Last Update Date | 10/31/2007
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Provider Practice Location Address
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Address Line | 777 17TH ST STE 400
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City | MIAMI BEACH
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State | FL
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Zip | 33139-1854
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Country | US
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Telephone | 305-673-3555
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Fax |
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Provider Business Mailing Address
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Address Line | 777 17TH ST STE 400
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City | MIAMI BEACH
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State | FL
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Zip | 33139-1854
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Country | US
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Telephone | 305-673-3555
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | LAWRENCE E FELDMAN
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Credential | M.D
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Telephone | 305-673-3555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | ME0047975
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License Number State | FL
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