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General NPI Number Information
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NPI Number | 1669744488
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Entity Type | Organization
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Legal Business Name | PROGRESSIVE INTERNAL MEDICINE PLLC
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Dates
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Enumeration Date | 02/09/2012
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Last Update Date | 04/03/2012
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Provider Practice Location Address
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Address Line | 3450 W WHEATLAND RD # 325 -
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City | DALLAS
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State | TX
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Zip | 75237-3470
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Country | US
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Telephone | 214-868-3209
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Fax |
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Provider Business Mailing Address
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Address Line | 3332 RICCI LN
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City | IRVING
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State | TX
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Zip | 75062-6575
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Country | US
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Telephone | 214-868-3209
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Fax |
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Authorized Official
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Title or Position | MEDICAL DOCTOR
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Name | DR. MICHAEL L FINCH
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Credential | M.D.
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Telephone | 214-868-3209
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | K2690
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License Number State | TX
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