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General NPI Number Information
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NPI Number | 1861078636
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Entity Type | Individual
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Provider Name | FELICIA BRANAGAN MD
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Gender | Female
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Dates
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Enumeration Date | 03/22/2021
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Last Update Date | 09/15/2025
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Provider Practice Location Address
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Address Line | 1079 WHITEHORSE MERCERVILLE RD
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City | HAMILTON TWP
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State | NJ
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Zip | 08610-1424
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Country | US
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Telephone | 800-321-9999
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Fax | 267-479-1321
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Provider Business Mailing Address
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Address Line | 833 CHESTNUT ST STE 520
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City | PHILADELPHIA
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State | PA
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Zip | 19107-4430
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Country | US
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Telephone | 609-677-7003
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Fax | 267-339-3761
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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 | 207QS0010X
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Taxonomy Name | Sports Medicine (Family Medicine) Physician
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License Number | 25MA12709400
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License Number State | NJ
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