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General NPI Number Information
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NPI Number | 1679565659
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Entity Type | Organization
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Legal Business Name | WILLIAM J FEENEY MD PLLC
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Dates
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Enumeration Date | 08/17/2005
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Last Update Date | 09/19/2023
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Provider Practice Location Address
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Address Line | 596 NEW LOUDON RD
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City | LATHAM
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State | NY
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Zip | 12110-4024
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Country | US
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Telephone | 518-782-7133
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 11719
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City | ALBANY
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State | NY
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Zip | 12211-0719
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Country | US
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Telephone | 518-389-1804
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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. WILLIAM J FEENEY
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Credential | MD
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Telephone | 518-782-7133
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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