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General NPI Number Information
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NPI Number | 1477752426
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Entity Type | Organization
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Legal Business Name | SUSAN DALLAS-FEENEY DO & NANCY HYKEL-MALONE MD, LLC
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Dates
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Enumeration Date | 07/11/2007
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Last Update Date | 07/11/2007
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Provider Practice Location Address
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Address Line | 42- 46 EAST STREET RD
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City | WEST CHESTER
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State | PA
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Zip | 19382-8412
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Country | US
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Telephone | 610-399-1100
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Fax | 610-399-1393
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Provider Business Mailing Address
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Address Line | 42 E STREET RD # 46
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City | WEST CHESTER
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State | PA
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Zip | 19382-8412
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Country | US
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Telephone | 610-399-1100
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Fax | 610-399-1393
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Authorized Official
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Title or Position | PARTNER
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Name | DR. SUSAN DALLAS-FEENEY
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Credential | D.O.
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Telephone | 610-399-1100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | OS005911L
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License Number State | PA
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