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General NPI Number Information
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NPI Number | 1700977030
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Entity Type | Individual
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Provider Name | ALAN G FINESILVER MD
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Gender | Male
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Dates
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Enumeration Date | 09/28/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2253 W MASON ST #200
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City | GREEN BAY
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State | WI
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Zip | 54303-4706
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Country | US
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Telephone | 920-327-7300
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Fax |
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Provider Business Mailing Address
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Address Line | 143 SCOUT WAY
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City | DE PERE
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State | WI
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Zip | 54115-3631
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Country | US
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Telephone | 920-336-5660
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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 | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | 49493
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License Number State | WI
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