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General NPI Number Information
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NPI Number | 1669873626
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Entity Type | Organization
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Legal Business Name | KAREN FEELEY D C
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Dates
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Enumeration Date | 09/09/2014
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Last Update Date | 09/09/2014
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Provider Practice Location Address
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Address Line | 1910 BLACK LAKE BLVD SW
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City | OLYMPIA
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State | WA
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Zip | 98512-5651
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Country | US
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Telephone | 360-561-4238
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Fax |
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Provider Business Mailing Address
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Address Line | 4525 RIDGEWOOD CT NW B
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City | OLYMPIA
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State | WA
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Zip | 98502-3642
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Country | US
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Telephone | 360-561-4238
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. KAREN M FEELEY
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Credential | D.C.
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Telephone | 360-561-4238
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | CH 60217866
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License Number State | WA
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