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General NPI Number Information
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NPI Number | 1922085539
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Entity Type | Individual
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Provider Name | WILLIAM FREDERICK FELDNER D.O.
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Gender | Male
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Dates
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Enumeration Date | 12/23/2005
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Last Update Date | 09/18/2025
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Provider Practice Location Address
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Address Line | 3009 NORTH NEW BALLAS ROAD STE 226A
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City | SAINT LOUIS
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State | MO
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Zip | 63195-2395
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Country | US
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Telephone | 314-996-4900
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Fax | 314-996-4901
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Provider Business Mailing Address
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Address Line | PO BOX 959354
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City | SAINT LOUIS
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State | MO
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Zip | 63195-3340
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Country | US
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Telephone | 314-996-4900
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Fax | 314-996-4901
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | R1J82
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 207QS0010X
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Taxonomy Name | Sports Medicine (Family Medicine) Physician
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License Number | R1J82
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License Number State | MO
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