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NPI 1891985628

NPI 1891985628 : FINLAY MEDICAL PRACTICE INC : NORTH MIAMI, FL

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General NPI Number Information
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    NPI Number           |    1891985628
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    Entity Type          |    Organization 
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    Legal Business Name  |    FINLAY MEDICAL PRACTICE INC 
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Dates
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    Enumeration Date     |    07/27/2007
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    Last Update Date     |    07/27/2007
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Provider Practice Location Address
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    Address Line         |    527 NE 124TH ST 
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    City                 |    NORTH MIAMI
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    State                |    FL
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    Zip                  |    33161-5423
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    Country              |    US
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    Telephone            |    305-891-0045
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    Fax                  |    305-891-3175
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Provider Business Mailing Address
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    Address Line         |    527 NE 124TH ST 
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    City                 |    NORTH MIAMI
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    State                |    FL
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    Zip                  |    33161-5423
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    Country              |    US
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    Telephone            |    305-891-0045
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    Fax                  |    305-891-3175
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    DR. MARIA A MUSTELIER 
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    Credential           |    MD
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    Telephone            |    305-891-0045
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    171W00000X
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    Taxonomy Name        |    Contractor
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    License Number       |    
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    License Number State |    
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