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General NPI Number Information
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NPI Number | 1962566208
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Entity Type | Organization
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Legal Business Name | JAMES W. FEELEY, III, M.D.
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Dates
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Enumeration Date | 12/21/2006
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Last Update Date | 06/16/2008
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Provider Practice Location Address
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Address Line | 250 MEMORIAL DR SUITE B
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City | LURAY
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State | VA
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Zip | 22835-1000
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Country | US
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Telephone | 540-743-9087
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Fax | 540-743-1195
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Provider Business Mailing Address
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Address Line | 250 MEMORIAL DR SUITE B
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City | LURAY
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State | VA
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Zip | 22835-1000
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Country | US
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Telephone | 540-743-9087
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Fax | 540-743-1195
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Authorized Official
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Title or Position | PHYSICIAN OWNER
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Name | DR. JAMES WILLIAM FEELEY III
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Credential | M.D.
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Telephone | 540-743-9087
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 001158166
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License Number State | VA
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