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General NPI Number Information
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NPI Number | 1225128374
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Entity Type | Organization
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Legal Business Name | JAMES M. FEENEY MD AND DAVID A VAUGHAN MD, A PARTNERSHIP
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Dates
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Enumeration Date | 10/12/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1800 SULLIVAN AVE SUITE 207
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City | DALY CITY
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State | CA
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Zip | 94015-2228
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Country | US
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Telephone | 650-992-0463
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Fax | 650-992-8912
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Provider Business Mailing Address
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Address Line | 1800 SULLIVAN AVENUE SUITE 207
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City | DALY CITY
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State | CA
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Zip | 94015-2222
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Country | US
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Telephone | 650-992-0463
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Fax | 650-992-8912
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Authorized Official
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Title or Position | PARTNER
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Name | DR. JAMES MICHAEL FEENEY
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Credential | MD
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Telephone | 650-992-0463
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | G51966
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | A65286
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | G45181
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License Number State | CA
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