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General NPI Number Information
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NPI Number | 1275554412
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Entity Type | Individual
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Provider Name | NANCY FINNERTY MD
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Gender | Female
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Dates
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Enumeration Date | 07/22/2006
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Last Update Date | 08/25/2021
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Provider Practice Location Address
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Address Line | 13417 US HWY 301 S SUITE D
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City | DADE CITY
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State | FL
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Zip | 33525
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Country | US
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Telephone | 352-567-8640
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Fax | 813-355-5027
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Provider Business Mailing Address
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Address Line | 38135 MARKET SQUARE
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City | ZEPHYRHILLS
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State | FL
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Zip | 33542
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Country | US
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Telephone | 813-528-4975
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME48797
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License Number State | FL
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