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General NPI Number Information
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NPI Number | 1659884559
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Entity Type | Organization
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Legal Business Name | THE FEINOUR CENTER - ADULT MEDICAL DAY CARE
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Dates
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Enumeration Date | 11/14/2017
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Last Update Date | 03/09/2023
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Provider Practice Location Address
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Address Line | 324 HERSHBERGER RD NW
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City | ROANOKE
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State | VA
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Zip | 24012-1963
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Country | US
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Telephone | 540-283-4433
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Fax | 540-283-4439
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Provider Business Mailing Address
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Address Line | 324 HERSHBERGER RD NW
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City | ROANOKE
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State | VA
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Zip | 24012-1963
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Country | US
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Telephone | 540-283-4433
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Fax | 540-283-4439
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Authorized Official
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Title or Position | DIRECTOR
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Name | MIKE SHANNON
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Credential | CFO
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Telephone | 540-283-4433
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number | ADC1103765
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License Number State | VA
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