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General NPI Number Information
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NPI Number | 1235421413
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Entity Type | Organization
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Legal Business Name | FINLAY OCCUPATIONAL HEALTH LLC
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Dates
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Enumeration Date | 05/06/2011
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Last Update Date | 05/06/2011
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Provider Practice Location Address
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Address Line | 19 HERITAGE DR ST. 105
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City | BOURBONNAIS
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State | IL
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Zip | 60914-1369
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Country | US
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Telephone | 815-936-0229
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Fax | 815-936-0488
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Provider Business Mailing Address
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Address Line | 19 HERITAGE DR ST. 105
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City | BOURBONNAIS
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State | IL
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Zip | 60914-1369
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Country | US
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Telephone | 815-936-0229
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Fax | 815-936-0488
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. OMAR GARCIA
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Credential | M.D.
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Telephone | 815-936-0229
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2083X0100X
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Taxonomy Name | Occupational Medicine Physician
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License Number | 036.124389
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License Number State | IL
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