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General NPI Number Information
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NPI Number | 1245394857
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Entity Type | Organization
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Legal Business Name | DR GARY H FINNERTY DDS PC
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Dates
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Enumeration Date | 12/20/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 7820 KNEESKERN RD
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City | BRIDGEPORT
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State | NY
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Zip | 13030
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Country | US
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Telephone | 315-633-2462
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Fax | 315-633-0734
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Provider Business Mailing Address
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Address Line | PO BOX 485 7820 KNEESKERN RD
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City | BRIDGEPORT
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State | NY
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Zip | 13030
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Country | US
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Telephone | 315-633-2462
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Fax | 315-633-0734
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. GARY H FINNERTY
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Credential | DDS PC
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Telephone | 315-633-2462
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 045816
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License Number State |
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