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General NPI Number Information
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NPI Number | 1215207568
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Entity Type | Organization
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Legal Business Name | LORRAINE G FINELLI DO & ASSOCIATES
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Dates
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Enumeration Date | 01/04/2012
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Last Update Date | 01/05/2012
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Provider Practice Location Address
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Address Line | 723 FITZWATERTOWN RD
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City | WILLOW GROVE
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State | PA
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Zip | 19090-1337
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Country | US
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Telephone | 215-706-4470
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Fax | 215-706-4464
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Provider Business Mailing Address
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Address Line | 723 FITZWATERTOWN RD
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City | WILLOW GROVE
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State | PA
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Zip | 19090-1337
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Country | US
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Telephone | 215-706-4470
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Fax | 215-706-4464
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. LORRAINE G. FINELLI
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Credential | D.O.
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Telephone | 215-706-4470
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | OS-005141-L
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License Number State | PA
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