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NPI 1730109380

NPI 1730109380 : DEBORAH S FINNELL NPP : BUFFALO, NY

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General NPI Number Information
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    NPI Number           |    1730109380
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    Entity Type          |    Individual 
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    Provider Name        |    DEBORAH S FINNELL NPP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/19/2006
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    3495 BAILEY AVE 
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    City                 |    BUFFALO
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    State                |    NY
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    Zip                  |    14215-1129
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    Country              |    US
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    Telephone            |    716-862-8565
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    6100 GOTT CREEK TRL 
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    City                 |    EAST AMHERST
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    State                |    NY
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    Zip                  |    14051-1922
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    Country              |    US
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    Telephone            |    716-741-7063
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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        |    363LP0808X
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    Taxonomy Name        |    Psychiatric/Mental Health Nurse Practitioner
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    License Number       |    400062
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    License Number State |    NY
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