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General NPI Number Information
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NPI Number | 1821304429
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Entity Type | Organization
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Legal Business Name | ANDREW C FELDMAN DO PA
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Dates
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Enumeration Date | 08/20/2010
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Last Update Date | 08/20/2010
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Provider Practice Location Address
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Address Line | 800 N STONE ST
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City | DELAND
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State | FL
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Zip | 32720-3256
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Country | US
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Telephone | 386-736-4912
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Fax | 386-738-0016
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Provider Business Mailing Address
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Address Line | 800 N STONE ST
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City | DELAND
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State | FL
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Zip | 32720-3256
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Country | US
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Telephone | 386-736-4912
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Fax | 386-738-0016
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Authorized Official
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Title or Position | PRESIDENT
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Name | ANDREW C FELDMAN
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Credential | DO
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Telephone | 386-736-4912
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | OS4575
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License Number State | FL
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