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General NPI Number Information
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NPI Number | 1851587885
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Entity Type | Organization
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Legal Business Name | MARINELLI & FELDMAN, M.D.'S
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Dates
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Enumeration Date | 09/24/2007
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Last Update Date | 09/24/2007
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Provider Practice Location Address
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Address Line | 400 W CENTRAL AVE #207
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City | BREA
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State | CA
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Zip | 92821-3013
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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 | 400 W CENTRAL AVE #207
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City | BREA
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State | CA
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Zip | 92821-3013
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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 | MS. ILENE MEYER
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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 | E91849
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License Number State | CA
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