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NPI 1477766640

NPI 1477766640 : DEBORAH J WEAR-FINKLE M.D., M.P.A. : AUGUSTA, ME

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General NPI Number Information
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    NPI Number           |    1477766640
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    Entity Type          |    Individual 
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    Provider Name        |    DEBORAH J WEAR-FINKLE M.D., M.P.A.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/07/2007
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    Last Update Date     |    11/13/2012
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Provider Practice Location Address
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    Address Line         |    592 RIVERSIDE DR #8
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    City                 |    AUGUSTA
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    State                |    ME
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    Zip                  |    04330-3813
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    Country              |    US
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    Telephone            |    207-751-8439
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 4718 
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    City                 |    AUGUSTA
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    State                |    ME
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    Zip                  |    04330-1718
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    Country              |    US
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    Telephone            |    207-751-8439
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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        |    2084P0800X
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    Taxonomy Name        |    Psychiatry Physician
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    License Number       |    015845
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    License Number State |    ME
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