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General NPI Number Information
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NPI Number | 1407403868
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Entity Type | Individual
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Provider Name | CONNOR BRYAN FEENEY DPT
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Gender | Male
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Dates
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Enumeration Date | 08/21/2019
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Last Update Date | 05/25/2023
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Provider Practice Location Address
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Address Line | 16 INDUSTRIAL BLVD STE 101
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City | PAOLI
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State | PA
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Zip | 19301-1609
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Country | US
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Telephone | 610-484-6232
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Fax |
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Provider Business Mailing Address
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Address Line | 3207 HILLIARD ROME RD
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City | HILLIARD
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State | OH
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Zip | 43026-9472
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Country | US
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Telephone | 614-850-0680
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Fax | 614-850-8910
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT018219
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT030500
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License Number State | PA
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