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General NPI Number Information
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NPI Number | 1669291357
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Entity Type | Individual
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Provider Name | STEPHANIE MARIE FINEFROCK NP
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Gender | Female
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Dates
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Enumeration Date | 10/09/2024
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Last Update Date | 12/18/2024
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Provider Practice Location Address
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Address Line | 1840 AMHERST ST
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City | WINCHESTER
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State | VA
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Zip | 22601-2808
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Country | US
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Telephone | 540-536-6986
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Fax | 540-536-6625
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Provider Business Mailing Address
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Address Line | PO BOX 748613
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City | ATLANTA
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State | GA
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Zip | 30384-8613
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Country | US
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Telephone | 434-295-1000
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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 | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | 0001251260
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 363LC0200X
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Taxonomy Name | Critical Care Medicine Nurse Practitioner
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License Number | 0024191658
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License Number State | VA
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