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General NPI Number Information
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NPI Number | 1841365459
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Entity Type | Organization
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Legal Business Name | IRWIN B FINCH DDS PC
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Dates
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Enumeration Date | 11/21/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 134 WOOD DALE DRIVE
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City | BALLSTON LAKE
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State | NY
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Zip | 12019
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Country | US
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Telephone | 518-877-7010
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Fax | 518-877-7311
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Provider Business Mailing Address
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Address Line | 134 WOOD DALE DRIVE
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City | BALLSTON LAKE
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State | NY
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Zip | 12019
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Country | US
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Telephone | 518-877-7010
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Fax | 518-877-7311
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Authorized Official
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Title or Position | ORTHODONTIST PRESIDENT
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Name | DR. IRWIN B FINCH
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Credential | DDS
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Telephone | 518-877-7010
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number |
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License Number State |
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