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General NPI Number Information
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NPI Number | 1518730407
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Entity Type | Organization
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Legal Business Name | FEATHERMAN THERAPY PA
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Dates
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Enumeration Date | 11/01/2023
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Last Update Date | 11/01/2023
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Provider Practice Location Address
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Address Line | 18365 NE 30TH CT
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City | NORTH MIAMI BEACH
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State | FL
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Zip | 33160-5220
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Country | US
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Telephone | 315-391-9165
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Fax |
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Provider Business Mailing Address
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Address Line | 18365 NE 30TH CT
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City | NORTH MIAMI BEACH
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State | FL
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Zip | 33160-5220
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Country | US
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Telephone | 315-391-9165
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | JULIE ANN FEATHERMAN
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Credential |
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Telephone | 315-391-9165
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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