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General NPI Number Information
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NPI Number | 1902036619
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Entity Type | Organization
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Legal Business Name | THE FELDMAN GROUP, INC.
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Dates
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Enumeration Date | 07/16/2009
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Last Update Date | 07/16/2009
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Provider Practice Location Address
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Address Line | 1202 W WILLOW RD SUITE C
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City | ENID
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State | OK
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Zip | 73703-2530
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Country | US
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Telephone | 580-541-8044
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Fax |
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Provider Business Mailing Address
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Address Line | 1202 W WILLOW RD SUITE C
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City | ENID
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State | OK
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Zip | 73703-2530
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Country | US
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Telephone | 580-541-8044
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MICHAEL LLOYD FELDMAN
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Credential | M.D.
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Telephone | 580-541-8044
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 15833
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License Number State | OK
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