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General NPI Number Information
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NPI Number | 1649418419
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Entity Type | Individual
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Provider Name | LARRY D. FINLEY I LVN/LPN
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Gender | Male
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Dates
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Enumeration Date | 02/01/2009
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Last Update Date | 02/01/2009
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Provider Practice Location Address
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Address Line | 58475 SUNNY SANDS DR
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City | YUCCA VALLEY
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State | CA
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Zip | 92284-1139
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Country | US
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Telephone | 619-607-2787
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Fax |
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Provider Business Mailing Address
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Address Line | 58475 SUNNY SANDS DR
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City | YUCCA VALLEY
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State | CA
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Zip | 92284-1139
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Country | US
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Telephone | 619-607-2787
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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 | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | 200930011LPN
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 164X00000X
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Taxonomy Name | Licensed Vocational Nurse
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License Number | VN237290
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License Number State | CA
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