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General NPI Number Information
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NPI Number | 1063328060
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Entity Type | Organization
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Legal Business Name | FEAGIN SUPPORT SERVICES, LLC
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Dates
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Enumeration Date | 08/20/2026
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Last Update Date | 08/20/2026
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Provider Practice Location Address
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Address Line | 2653 BRUCE B DOWNS BLVD STE 108A
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City | WESLEY CHAPEL
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State | FL
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Zip | 33544-9211
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Country | US
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Telephone | 404-276-2768
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Fax |
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Provider Business Mailing Address
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Address Line | 36350 CAMP FIRE TER
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City | ZEPHYRHILLS
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State | FL
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Zip | 33541-4837
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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 | CEO
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Name | MICHAEL FEAGINS
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Credential |
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Telephone | 404-276-2768
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #2
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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 |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 385HR2065X
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Taxonomy Name | Child Physical Disabilities Respite Care
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License Number |
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License Number State |
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