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General NPI Number Information
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NPI Number | 1013423987
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Entity Type | Individual
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Provider Name | ANDREW XAVIER FEENEY LMHC
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Gender | Male
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Dates
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Enumeration Date | 12/14/2017
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Last Update Date | 09/23/2020
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Provider Practice Location Address
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Address Line | 1525 WESTERN AVE STE 1
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City | ALBANY
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State | NY
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Zip | 12203-3537
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Country | US
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Telephone | 518-915-1849
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Fax | 518-444-7095
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Provider Business Mailing Address
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Address Line | 39 EDGECOMB STREET
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City | ALBANY
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State | NY
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Zip | 12209-1305
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Country | US
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Telephone | 518-225-9441
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Fax | 518-444-7095
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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