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General NPI Number Information
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NPI Number | 1396742441
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Entity Type | Individual
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Provider Name | BETH LOUISE FINEBERG PH.D.
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Gender | Female
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Dates
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Enumeration Date | 07/05/2005
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Last Update Date | 07/08/2021
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Provider Practice Location Address
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Address Line | 450 WELLINGTON RD
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City | INDIANAPOLIS
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State | IN
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Zip | 46260-4620
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Country | US
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Telephone | 317-872-4158
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Fax |
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Provider Business Mailing Address
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Address Line | 2020 W 86TH ST SUITE 301
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City | INDIANAPOLIS
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State | IN
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Zip | 46260-1969
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Country | US
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Telephone | 317-872-4158
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Fax | 317-872-4612
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 0441
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 20010207A
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License Number State | IN
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