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NPI 1295768083

NPI 1295768083 : GINA THOMPSON FINGERLIN APRN : SALUDA, SC

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General NPI Number Information
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    NPI Number           |    1295768083
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    Entity Type          |    Individual 
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    Provider Name        |    GINA THOMPSON FINGERLIN APRN
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/08/2006
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    Last Update Date     |    05/20/2015
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Provider Practice Location Address
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    Address Line         |    140 IVORY KEY RD SALUDA SCHOOL DISTRICT
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    City                 |    SALUDA
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    State                |    SC
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    Zip                  |    29138
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    Country              |    US
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    Telephone            |    864-445-3011
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1179 BATESBURG HWY 
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    City                 |    SALUDA
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    State                |    SC
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    Zip                  |    29138-8485
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    Country              |    US
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    Telephone            |    864-445-2976
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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        |    163W00000X
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    Taxonomy Name        |    Registered Nurse
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    License Number       |    35656
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    License Number State |    SC
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Taxonomy #2
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    Taxonomy Code        |    363LW0102X
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    Taxonomy Name        |    Women's Health Nurse Practitioner
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    License Number       |    APN 995
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    License Number State |    SC
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