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NPI 1033599972

NPI 1033599972 : CHARLES A FINLEY RN : CROW AGENCY, MT

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General NPI Number Information
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    NPI Number           |    1033599972
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    Entity Type          |    Individual 
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    Provider Name        |    CHARLES A FINLEY RN
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    06/05/2015
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    Last Update Date     |    06/20/2018
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Provider Practice Location Address
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    Address Line         |    10110 S. 7650 E 
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    City                 |    CROW AGENCY
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    State                |    MT
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    Zip                  |    59022
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    Country              |    US
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    Telephone            |    406-638-3500
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    10110 SOUTH 7650 EAST 
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    City                 |    CROW AGENCY
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    State                |    MT
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    Zip                  |    59022
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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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        |    163W00000X
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    Taxonomy Name        |    Registered Nurse
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    License Number       |    39338
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    License Number State |    MT
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