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General NPI Number Information
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NPI Number | 1790925998
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Entity Type | Organization
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Legal Business Name | DR. KIMBERLY A FINCH, INC
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Dates
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Enumeration Date | 02/27/2009
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Last Update Date | 02/27/2009
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Provider Practice Location Address
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Address Line | 2233 HAMLINE AVE N SUITE 217
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City | SAINT PAUL
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State | MN
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Zip | 55113-5009
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Country | US
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Telephone | 651-636-0099
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Fax | 651-636-1075
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Provider Business Mailing Address
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Address Line | 2233 HAMLINE AVE N SUITE 217
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City | SAINT PAUL
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State | MN
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Zip | 55113-5009
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Country | US
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Telephone | 651-636-0099
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Fax | 651-636-1075
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Authorized Official
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Title or Position | CLINICAL PSYCHOLOGIST/OWNER
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Name | DR. KIMBERLY A FINCH
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Credential | PSYD, LP
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Telephone | 651-636-0099
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | MN 4500
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License Number State | MN
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