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General NPI Number Information
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NPI Number | 1346490604
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Entity Type | Organization
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Legal Business Name | FEAGIN & OWEN, M.D.., P.C.
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Dates
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Enumeration Date | 09/23/2008
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Last Update Date | 10/09/2008
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Provider Practice Location Address
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Address Line | 4300 W MAIN ST SUITE 43
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City | DOTHAN
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State | AL
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Zip | 36305-1054
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Country | US
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Telephone | 334-793-7211
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Fax | 334-793-5425
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Provider Business Mailing Address
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Address Line | 4300 W MAIN ST SUITE 43
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City | DOTHAN
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State | AL
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Zip | 36305-1054
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Country | US
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Telephone | 334-793-7211
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Fax | 334-793-5425
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Authorized Official
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Title or Position | INSURANCE
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Name | KIMBERLY C BYRD
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Credential |
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Telephone | 334-793-7211
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | 13944
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | 7921
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License Number State | AL
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