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General NPI Number Information
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NPI Number | 1851632095
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Entity Type | Organization
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Legal Business Name | JACOB D FINLINSON, D.D.S, LLC
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Dates
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Enumeration Date | 03/13/2013
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Last Update Date | 03/13/2013
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Provider Practice Location Address
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Address Line | 140 SOUTH MAIN
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City | FILLMORE
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State | UT
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Zip | 84631
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Country | US
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Telephone | 435-743-6521
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Fax |
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Provider Business Mailing Address
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Address Line | 140 SOUTH MAIN
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City | FILLMORE
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State | UT
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Zip | 84631
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DENTIST/MANAGER
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Name | DR. JACOB DWAIN FINLINSON
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Credential | D.D.S
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Telephone | 435-743-6521
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 8591800-9922
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License Number State | UT
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