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General NPI Number Information
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NPI Number | 1114405693
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Entity Type | Organization
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Legal Business Name | FINN THERAPY, LLC
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Dates
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Enumeration Date | 08/06/2018
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Last Update Date | 08/06/2018
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Provider Practice Location Address
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Address Line | 3343 CENTER GROVE DR STE A
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City | DUBUQUE
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State | IA
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Zip | 52003-5293
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Country | US
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Telephone | 563-581-8070
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Fax |
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Provider Business Mailing Address
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Address Line | 3343 CENTER GROVE DR STE A
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City | DUBUQUE
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State | IA
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Zip | 52003-5293
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Country | US
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Telephone | 563-581-8070
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DANIEL FINN
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Credential | LISW
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Telephone | 563-581-8070
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number | 072270
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License Number State | IA
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