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General NPI Number Information
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NPI Number | 1154414720
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Entity Type | Organization
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Legal Business Name | S SAM FINN, M.D. PROFESSIONAL ASSOCIATION
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Dates
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Enumeration Date | 10/02/2006
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Last Update Date | 04/08/2011
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Provider Practice Location Address
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Address Line | 3600 GASTON AVENUE SUITE 856 WADLEY TOWER
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City | DALLAS
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State | TX
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Zip | 75246-1908
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Country | US
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Telephone | 214-823-2161
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Fax | 214-823-1632
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Provider Business Mailing Address
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Address Line | 3600 GASTON AVENUE SUITE 856 WADLEY TOWER
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City | DALLAS
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State | TX
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Zip | 75246-1908
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Country | US
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Telephone | 214-823-2161
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Fax | 214-823-1632
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Authorized Official
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Title or Position | PRESIDENT
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Name | S SAM FINN
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Credential | M.D.
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Telephone | 214-823-2161
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number |
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License Number State |
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