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General NPI Number Information
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NPI Number | 1538733936
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Entity Type | Individual
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Provider Name | GREGORY MICHAEL FINCH LPC
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Gender | Male
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Dates
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Enumeration Date | 05/19/2021
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Last Update Date | 05/19/2021
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Provider Practice Location Address
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Address Line | 2901 RIDGELAKE DR STE 104
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City | METAIRIE
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State | LA
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Zip | 70002-4946
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Country | US
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Telephone | 504-615-6550
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Fax |
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Provider Business Mailing Address
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Address Line | 856 S CLEARVIEW PKWY APT 320
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City | RIVER RIDGE
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State | LA
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Zip | 70123-6313
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Country | US
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Telephone | 504-615-6550
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 5823
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License Number State | LA
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