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NPI 1346306594

NPI 1346306594 : LINDA J FINNERAN PT DPT PCS : NORTH BELLMORE, NY

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General NPI Number Information
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    NPI Number           |    1346306594
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    Entity Type          |    Individual 
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    Provider Name        |    LINDA J FINNERAN PT DPT PCS
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    12/29/2006
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    Last Update Date     |    03/18/2014
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Provider Practice Location Address
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    Address Line         |    2415 JERUSALEM AVE SUITE 106
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    City                 |    NORTH BELLMORE
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    State                |    NY
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    Zip                  |    11710-1870
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    Country              |    US
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    Telephone            |    516-785-5257
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    Fax                  |    516-785-5154
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Provider Business Mailing Address
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    Address Line         |    71 GATES AVENUE 
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    City                 |    MALVERNE
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    State                |    NY
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    Zip                  |    11565
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    Country              |    US
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    Telephone            |    516-593-0727
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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        |    2251P0200X
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    Taxonomy Name        |    Pediatric Physical Therapist
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    License Number       |    0099131
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    License Number State |    NY
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