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General NPI Number Information
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NPI Number | 1114998861
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Entity Type | Individual
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Provider Name | MARTHA FEENAGHTY DO
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Gender | Female
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Dates
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Enumeration Date | 01/31/2006
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Last Update Date | 11/21/2018
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Provider Practice Location Address
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Address Line | 15721 CUTTYSARK ST
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City | CORPUS CHRISTI
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State | TX
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Zip | 78418
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Country | US
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Telephone | 646-000-0000
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Fax |
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Provider Business Mailing Address
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Address Line | 15721 CUTTYSARK ST
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City | CORPUS CHRISTI
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State | TX
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Zip | 78418-6422
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 2018028749
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 20A7827
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License Number State | CA
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