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General NPI Number Information
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NPI Number | 1568608495
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Entity Type | Individual
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Provider Name | MARY BETH A. FINN MSN, FNP - BC
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Gender | Female
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Dates
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Enumeration Date | 12/24/2008
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Last Update Date | 12/24/2008
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Provider Practice Location Address
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Address Line | 355 GRAND ST
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City | JERSEY CITY
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State | NJ
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Zip | 07302-4321
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Country | US
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Telephone | 201-915-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 651 W MOUNT PLEASANT AVE
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City | LIVINGSTON
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State | NJ
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Zip | 07039-1600
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Country | US
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Telephone | 973-740-0607
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 26NJ00175200
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License Number State | NJ
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