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General NPI Number Information
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NPI Number | 1417671058
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Entity Type | Individual
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Provider Name | SARA MAE FINSETH
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Gender | Female
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Dates
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Enumeration Date | 09/27/2022
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Last Update Date | 09/27/2022
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Provider Practice Location Address
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Address Line | 4501 GRAND AVE
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City | DULUTH
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State | MN
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Zip | 55807-2754
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Country | US
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Telephone | 218-628-2897
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Fax |
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Provider Business Mailing Address
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Address Line | 2109 E SUPERIOR ST
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City | DULUTH
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State | MN
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Zip | 55812-2124
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Country | US
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Telephone | 651-468-5663
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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 | 125741
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License Number State | MN
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