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General NPI Number Information
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NPI Number | 1033693213
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Entity Type | Individual
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Provider Name | KATIE MARIE FEENEY MSN, PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 09/24/2018
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Last Update Date | 01/22/2021
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Provider Practice Location Address
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Address Line | 189 STORRS RD
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City | MANSFIELD CENTER
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State | CT
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Zip | 06250-1683
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Country | US
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Telephone | 860-456-1311
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Fax | 860-450-0165
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Provider Business Mailing Address
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Address Line | 250 N SHADELAND AVE
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City | INDIANAPOLIS
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State | IN
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Zip | 46219-4959
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Country | US
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Telephone |
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 71008500A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 9329
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License Number State | CT
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