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General NPI Number Information
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NPI Number | 1043600083
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Entity Type | Organization
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Legal Business Name | JENNIFER FINEBERG DDS PC
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Dates
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Enumeration Date | 01/29/2015
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Last Update Date | 01/29/2015
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Provider Practice Location Address
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Address Line | 6750 W DEER VALLEY RD STE C103
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City | GLENDALE
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State | AZ
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Zip | 85310-5955
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Country | US
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Telephone | 623-362-2550
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Fax | 623-362-2552
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Provider Business Mailing Address
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Address Line | 6750 W DEER VALLEY RD STE C103
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City | GLENDALE
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State | AZ
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Zip | 85310-5955
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Country | US
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Telephone | 623-362-2550
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Fax | 623-362-2552
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Authorized Official
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Title or Position | DENTIST/OWNER
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Name | DR. JENNIFER JEANNINE MYERS-FINEBERG
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Credential | DDS
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Telephone | 623-362-2550
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 4492
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License Number State | AZ
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