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General NPI Number Information
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NPI Number | 1407656275
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Entity Type | Individual
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Provider Name | SYDNEY FINN PA-C
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Gender | Female
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Dates
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Enumeration Date | 03/19/2025
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Last Update Date | 03/24/2025
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Provider Practice Location Address
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Address Line | 4070 LAKE DR SE STE 101
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City | GRAND RAPIDS
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State | MI
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Zip | 49546-8294
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Country | US
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Telephone | 616-455-4114
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Fax | 616-455-4454
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Provider Business Mailing Address
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Address Line | 4070 LAKE DR SE STE 101
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City | GRAND RAPIDS
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State | MI
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Zip | 49546-8294
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Country | US
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Telephone | 616-455-4114
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Fax | 616-455-4454
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 5601013072
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License Number State | MI
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