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General NPI Number Information
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NPI Number | 1356819833
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Entity Type | Individual
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Provider Name | LAURA FINNELLY RN
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Gender | Female
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Dates
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Enumeration Date | 11/02/2018
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Last Update Date | 11/02/2018
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Provider Practice Location Address
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Address Line | 350 S NORTHWEST HWY STE 300
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City | PARK RIDGE
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State | IL
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Zip | 60068-4262
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Country | US
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Telephone | 847-656-5208
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Fax |
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Provider Business Mailing Address
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Address Line | 350 S NORTHWEST HWY STE 300
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City | PARK RIDGE
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State | IL
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Zip | 60068-4262
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Country | US
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Telephone | 800-531-6471
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Fax | 800-531-6471
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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 | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 3001586
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License Number State | IL
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