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General NPI Number Information
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NPI Number | 1851532741
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Entity Type | Individual
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Provider Name | LARISA FELDMAN RPA-C
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Gender | Female
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Dates
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Enumeration Date | 03/23/2009
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Last Update Date | 10/29/2024
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Provider Practice Location Address
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Address Line | 2950 CLEVELAND CLINIC BLVD
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City | WESTON
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State | FL
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Zip | 33331-3625
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Country | US
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Telephone | 954-659-5671
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Fax |
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Provider Business Mailing Address
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Address Line | 22118 WOODSET LN
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City | BOCA RATON
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State | FL
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Zip | 33428-3805
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Country | US
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Telephone | 347-446-6529
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 9114535
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 013200
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License Number State | NY
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