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General NPI Number Information
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NPI Number | 1679929384
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Entity Type | Individual
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Provider Name | TIMOTHY R. FEENEY LMHC
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Gender | Male
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Dates
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Enumeration Date | 05/11/2016
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Last Update Date | 05/11/2016
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Provider Practice Location Address
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Address Line | 3540 S OCEAN BLVD 500
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City | SOUTH PALM BEACH
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State | FL
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Zip | 33480-5757
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Country | US
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Telephone | 561-766-1927
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Fax | 561-766-1932
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Provider Business Mailing Address
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Address Line | 3540 S OCEAN BLVD 500
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City | SOUTH PALM BEACH
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State | FL
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Zip | 33480-5757
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Country | US
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Telephone | 561-766-1927
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Fax | 561-766-1932
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | MH5650
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MH5650
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | MH5650
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License Number State | FL
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