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General NPI Number Information
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NPI Number | 1275614257
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Entity Type | Individual
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Provider Name | CARLIE DALE FINAN M.D.
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Gender | Female
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Dates
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Enumeration Date | 10/18/2006
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Last Update Date | 09/13/2021
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Provider Practice Location Address
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Address Line | 119 OAKFIELD DR
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City | BRANDON
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State | FL
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Zip | 33511-5779
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Country | US
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Telephone | 813-916-1410
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Fax |
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Provider Business Mailing Address
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Address Line | 106 LOCUST DR
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City | BRANDON
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State | FL
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Zip | 33511-8019
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Country | US
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Telephone | 443-569-2605
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | ME91198
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License Number State | FL
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