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General NPI Number Information
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NPI Number | 1477874089
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Entity Type | Organization
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Legal Business Name | FEAGIN, INC
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Dates
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Enumeration Date | 06/17/2010
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Last Update Date | 06/17/2010
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Provider Practice Location Address
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Address Line | 1402 GOLDEN PARK CT
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City | TALLAHASSEE
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State | FL
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Zip | 32303-3697
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Country | US
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Telephone | 185-025-1256
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 4326
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City | TALLAHASSEE
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State | FL
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Zip | 32315-4326
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Country | US
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Telephone | 185-025-1256
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. DARRELL L FEAGIN
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Credential | B.S.
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Telephone | 850-251-2567
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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