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NPI 1083613483

NPI 1083613483 : JOHN P FEENEY DC : BEAR, DE

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General NPI Number Information
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    NPI Number           |    1083613483
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    Entity Type          |    Individual 
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    Provider Name        |    JOHN P FEENEY DC
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    07/18/2005
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    Last Update Date     |    07/09/2007
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Provider Practice Location Address
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    Address Line         |    835 PULASKI HWY 
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    City                 |    BEAR
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    State                |    DE
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    Zip                  |    19701-1240
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    Country              |    US
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    Telephone            |    302-328-0200
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    Fax                  |    302-328-9088
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Provider Business Mailing Address
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    Address Line         |    835 PULASKI HWY 
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    City                 |    BEAR
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    State                |    DE
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    Zip                  |    19701-1240
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    Country              |    US
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    Telephone            |    302-328-0200
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    Fax                  |    302-328-9088
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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        |    111N00000X
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    Taxonomy Name        |    Chiropractor
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    License Number       |    F1-0000127
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    License Number State |    DE
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