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General NPI Number Information
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NPI Number | 1902225089
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Entity Type | Individual
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Provider Name | ALINA KRAVTSOVA FELDMAN M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/16/2014
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Last Update Date | 10/03/2024
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Provider Practice Location Address
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Address Line | 2428 SANTA MONICA BLVD
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City | SANTA MONICA
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State | CA
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Zip | 90404-2045
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Country | US
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Telephone | 310-315-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 5601 GRAVES AVE
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City | ENCINO
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State | CA
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Zip | 91316-1440
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Country | US
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Telephone | 818-438-6598
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | A141330
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License Number State | CA
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