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General NPI Number Information
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NPI Number | 1922531854
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Entity Type | Organization
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Legal Business Name | ANDREW A FEHER DDS
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Dates
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Enumeration Date | 04/07/2017
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Last Update Date | 04/07/2017
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Provider Practice Location Address
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Address Line | 11270 E 13 MILE RD STE 3
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City | WARREN
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State | MI
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Zip | 48093-2599
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Country | US
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Telephone | 586-573-2773
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Fax | 586-573-9370
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Provider Business Mailing Address
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Address Line | 11270 E 13 MILE RD STE 3
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City | WARREN
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State | MI
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Zip | 48093-2599
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Country | US
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Telephone | 586-573-2773
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Fax | 586-573-9370
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Authorized Official
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Title or Position | DOCTOR/OWNER
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Name | DR. ANDREW FEHER
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Credential |
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Telephone | 586-573-2773
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 385HR2060X
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Taxonomy Name | Child Intellectual and/or Developmental Disabilities Respite Care
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License Number | 14314
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License Number State | MI
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