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General NPI Number Information
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NPI Number | 1851498133
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Entity Type | Organization
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Legal Business Name | MARINELLI & FELDMAN MDS
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 09/15/2020
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Provider Practice Location Address
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Address Line | 1915 SUNNY CREST DR
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City | FULLERTON
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State | CA
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Zip | 92835-3626
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Country | US
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Telephone | 714-879-2410
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Fax | 714-879-5340
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Provider Business Mailing Address
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Address Line | 1915 SUNNY CREST DR
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City | FULLERTON
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State | CA
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Zip | 92835-3626
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Country | US
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Telephone | 714-879-2410
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Fax | 714-879-5340
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | ANGELICA MARIA REYES
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Credential |
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Telephone | 714-879-2410
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number | A79874
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number | G59971
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License Number State | CA
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