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General NPI Number Information
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NPI Number | 1770281396
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Entity Type | Individual
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Provider Name | DEATRA FINLEY RN
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Gender | Female
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Dates
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Enumeration Date | 02/22/2023
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Last Update Date | 10/06/2023
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Provider Practice Location Address
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Address Line | 4651 HOLT BLVD STE H
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City | MONTCLAIR
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State | CA
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Zip | 91763-4730
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Country | US
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Telephone | 909-681-2106
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Fax |
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Provider Business Mailing Address
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Address Line | 4651 HOLT BLVD STE H
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City | MONTCLAIR
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State | CA
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Zip | 91763-4730
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Country | US
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Telephone | 908-681-2106
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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 | 163WG0000X
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Taxonomy Name | General Practice Registered Nurse
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License Number | 662824
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 171400000X
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Taxonomy Name | Health & Wellness Coach
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 163WE0003X
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Taxonomy Name | Emergency Registered Nurse
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License Number | 662824
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 662824
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License Number State | CA
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