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General NPI Number Information
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NPI Number | 1548133846
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Entity Type | Individual
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Provider Name | MARK RYAN FINNEY
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Gender | Male
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Dates
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Enumeration Date | 09/24/2025
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Last Update Date | 09/24/2025
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Provider Practice Location Address
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Address Line | 3910 ELMWOOD AVE
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City | LOUISVILLE
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State | KY
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Zip | 40207-2702
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Country | US
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Telephone | 606-200-0042
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Fax |
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Provider Business Mailing Address
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Address Line | 1342 KY ROUTE 2039
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City | HAGERHILL
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State | KY
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Zip | 41222-9080
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Country | US
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Telephone |
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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