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General NPI Number Information
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NPI Number | 1093200925
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Entity Type | Individual
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Provider Name | ELIZABETH FEENEY PH.D.
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Gender | Female
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Dates
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Enumeration Date | 06/23/2018
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Last Update Date | 06/23/2018
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Provider Practice Location Address
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Address Line | 50 COLLEGE ST
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City | SOUTH HADLEY
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State | MA
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Zip | 01075-1423
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Country | US
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Telephone | 413-538-2037
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Fax |
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Provider Business Mailing Address
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Address Line | 18 NORTH LN
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City | HADLEY
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State | MA
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Zip | 01035-3525
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Country | US
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Telephone | 413-374-3885
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 7496
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License Number State | MA
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