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General NPI Number Information
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NPI Number | 1831485796
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Entity Type | Individual
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Provider Name | FELECIA N SUMNER D.O.
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Gender | Female
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Dates
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Enumeration Date | 06/20/2011
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Last Update Date | 04/04/2019
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Provider Practice Location Address
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Address Line | 85 N LANSDOWNE AVE STE 4
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City | LANSDOWNE
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State | PA
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Zip | 19050-2073
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Country | US
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Telephone | 215-876-0360
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Fax | 667-239-6162
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Provider Business Mailing Address
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Address Line | 85 N LANSDOWNE AVE STE 4
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City | LANSDOWNE
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State | PA
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Zip | 19050-2073
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Country | US
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Telephone | 215-876-0360
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Fax | 667-239-6162
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | OS017003
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | OT014142
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 075917
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License Number State | GA
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