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General NPI Number Information
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NPI Number | 1053378042
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Entity Type | Individual
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Provider Name | LARRY ALLEN FINCH D.C.
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Gender | Male
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Dates
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Enumeration Date | 04/26/2006
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Last Update Date | 09/24/2007
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Provider Practice Location Address
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Address Line | 115 TUCKER ST
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City | KINGMAN
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State | AZ
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Zip | 86401
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Country | US
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Telephone | 928-753-6937
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Fax | 928-753-6937
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Provider Business Mailing Address
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Address Line | 115 TUCKER ST
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City | KINGMAN
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State | AZ
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Zip | 86401
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Country | US
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Telephone | 928-753-6937
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Fax | 928-753-6937
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 0959
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 111NS0005X
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Taxonomy Name | Sports Physician Chiropractor
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License Number | 1386
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License Number State | AZ
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