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General NPI Number Information
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NPI Number | 1891922746
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Entity Type | Organization
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Legal Business Name | FELDON TENDLER ORTHODONTICS LLC
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Dates
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Enumeration Date | 06/18/2009
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Last Update Date | 06/18/2009
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Provider Practice Location Address
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Address Line | 595 S FEDERAL HWY STE 130
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City | BOCA RATON
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State | FL
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Zip | 33432-6011
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Country | US
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Telephone | 561-826-7955
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Fax |
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Provider Business Mailing Address
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Address Line | 595 S FEDERAL HWY STE 130
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City | BOCA RATON
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State | FL
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Zip | 33432-6011
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Country | US
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Telephone | 561-826-7955
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | DR. MINELLE MARIE TENDLER
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Credential | DMD
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Telephone | 561-826-7955
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | DN17665
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License Number State | FL
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