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General NPI Number Information
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NPI Number | 1770811440
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Entity Type | Individual
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Provider Name | SHANNON LEAH FINNESY L.AC
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Gender | Female
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Dates
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Enumeration Date | 11/18/2009
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Last Update Date | 11/18/2009
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Provider Practice Location Address
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Address Line | 901 CALLE AMANECER SUITE 320
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City | SAN CLEMENTE
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State | CA
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Zip | 92673-6278
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Country | US
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Telephone | 949-366-6785
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Fax |
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Provider Business Mailing Address
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Address Line | 4419 CLEVELAND AVE APT 3
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City | SAN DIEGO
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State | CA
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Zip | 92116-3911
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Country | US
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Telephone | 619-871-3463
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AC12365
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License Number State | CA
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