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General NPI Number Information
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NPI Number | 1407972185
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Entity Type | Organization
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Legal Business Name | KEVIN S FINNESEY MD A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 03/22/2007
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Last Update Date | 08/03/2011
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Provider Practice Location Address
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Address Line | 100 S ELLSWORTH AVE SUITE 504
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City | SAN MATEO
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State | CA
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Zip | 94401-3939
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Country | US
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Telephone | 650-343-5633
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Fax | 650-343-3122
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Provider Business Mailing Address
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Address Line | 100 S ELLSWORTH AVE SUITE 504
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City | SAN MATEO
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State | CA
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Zip | 94401-3939
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Country | US
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Telephone | 650-343-5633
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Fax | 650-343-3122
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Authorized Official
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Title or Position | PRESIDENT
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Name | KEVIN S FINNESEY
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Credential | MD
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Telephone | 650-558-0504
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XS0117X
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Taxonomy Name | Orthopaedic Surgery of the Spine Physician
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License Number | G71098
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License Number State | CA
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