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General NPI Number Information
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NPI Number | 1164822524
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Entity Type | Organization
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Legal Business Name | KENNETH R. FINEMAN PH.D PSYCH CORP
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Dates
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Enumeration Date | 09/03/2014
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Last Update Date | 02/02/2015
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Provider Practice Location Address
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Address Line | 11770 WARNER AVE STE 226
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City | FOUNTAIN VALLEY
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State | CA
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Zip | 92708-2662
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Country | US
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Telephone | 714-241-8560
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Fax |
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Provider Business Mailing Address
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Address Line | 11770 WARNER AVE STE 226
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City | FOUNTAIN VALLEY
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State | CA
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Zip | 92708-2662
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Country | US
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Telephone | 714-241-8560
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Fax |
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Authorized Official
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Title or Position | PSYCHOLOGIST
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Name | DR. KENNETH R FINEMAN
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Credential | PH.D
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Telephone | 714-241-8560
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305R00000X
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Taxonomy Name | Preferred Provider Organization
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License Number | PSY4064
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License Number State | CA
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