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General NPI Number Information
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NPI Number | 1053633701
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Entity Type | Individual
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Provider Name | KEVIN F FINCH R. PH.
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Gender | Male
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Dates
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Enumeration Date | 02/23/2010
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Last Update Date | 02/23/2010
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Provider Practice Location Address
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Address Line | 135 FAIRGROUNDS MEMORIAL PKWY
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City | ITHACA
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State | NY
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Zip | 14850-5362
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Country | US
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Telephone | 607-277-8126
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Fax | 607-277-8613
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Provider Business Mailing Address
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Address Line | 3489 STATE ROUTE 79
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City | BURDETT
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State | NY
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Zip | 14818-9693
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Country | US
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Telephone | 607-546-7792
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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 | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | 037685
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License Number State | NY
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