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General NPI Number Information
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NPI Number | 1700976172
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Entity Type | Organization
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Legal Business Name | JACK W FINCH M.D. INC
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Dates
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Enumeration Date | 10/13/2006
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Last Update Date | 10/17/2013
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Provider Practice Location Address
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Address Line | 2888 EUREKA WAY STE 201
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City | REDDING
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State | CA
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Zip | 96001-0210
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Country | US
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Telephone | 530-223-7444
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Fax | 530-223-7449
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Provider Business Mailing Address
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Address Line | 2888 EUREKA WAY STE 201
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City | REDDING
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State | CA
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Zip | 96001-0210
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Country | US
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Telephone | 530-223-7444
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Fax | 530-223-7449
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Authorized Official
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Title or Position | PRESIDENT
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Name | JACK W FINCH
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Credential | M.D.
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Telephone | 530-223-7444
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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