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General NPI Number Information
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NPI Number | 1972588259
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Entity Type | Individual
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Provider Name | BARRY W FELDMAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 12/09/2005
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Last Update Date | 03/06/2024
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Provider Practice Location Address
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Address Line | 32255 NORTHWESTERN HWY STE 130A
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City | FARMINGTON HILLS
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State | MI
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Zip | 48334-1566
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Country | US
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Telephone | 248-723-5880
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Fax | 248-723-5889
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Provider Business Mailing Address
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Address Line | 29992 NORTHWESTERN HWY STE C
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City | FARMINGTON HILLS
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State | MI
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Zip | 48334-3292
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Country | US
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Telephone | 947-221-9120
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 4301044524
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License Number State | MI
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