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General NPI Number Information
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NPI Number | 1902872781
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Entity Type | Individual
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Provider Name | KENNETH RUSSELL FEUER MD
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Gender | Male
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Dates
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Enumeration Date | 02/23/2006
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Last Update Date | 10/21/2009
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Provider Practice Location Address
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Address Line | 9430 TURKEY LAKE RD STE 206
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City | ORLANDO
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State | FL
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Zip | 32819-8015
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Country | US
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Telephone | 407-851-5600
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Fax | 407-438-9585
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Provider Business Mailing Address
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Address Line | 3885 OAKWATER CIR
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City | ORLANDO
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State | FL
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Zip | 32806-6257
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Country | US
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Telephone | 407-851-5600
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Fax | 407-438-9585
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | ME46704
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License Number State | FL
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