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General NPI Number Information
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NPI Number | 1619925278
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Entity Type | Individual
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Provider Name | SUSAN M FINERTY PA-C
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Gender | Female
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Dates
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Enumeration Date | 05/05/2006
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Last Update Date | 02/11/2010
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Provider Practice Location Address
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Address Line | 17 RIVERSIDE ST SUITE 201
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City | NASHUA
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State | NH
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Zip | 03062-1373
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Country | US
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Telephone | 603-883-8049
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Fax | 603-879-9329
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Provider Business Mailing Address
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Address Line | 11 COTTON CIR
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City | BEDFORD
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State | NH
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Zip | 03110-4658
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Country | US
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Telephone | 603-472-5738
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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 | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | 340
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License Number State | NH
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