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NPI 1396865564

NPI 1396865564 : BARBARA J. FINNEGAN : PEKIN, IL

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General NPI Number Information
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    NPI Number           |    1396865564
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    Entity Type          |    Individual 
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    Provider Name        |    BARBARA J. FINNEGAN
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    03/30/2007
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    2600 S 2ND ST 
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    City                 |    PEKIN
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    State                |    IL
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    Zip                  |    61554-8297
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    Country              |    US
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    Telephone            |    309-346-8588
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    3900 BROADWAY ST 
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    City                 |    PEKIN
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    State                |    IL
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    Zip                  |    61554-9434
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    Country              |    US
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    Telephone            |    309-346-8588
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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        |    183500000X
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    Taxonomy Name        |    Pharmacist
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    License Number       |    RP035492L
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    License Number State |    PA
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