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General NPI Number Information
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NPI Number | 1952500829
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Entity Type | Individual
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Provider Name | MRS. NADINE ELISABETH FINNEFROCK
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Gender | Female
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Dates
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Enumeration Date | 07/12/2007
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Last Update Date | 07/12/2007
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Provider Practice Location Address
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Address Line | 40300 NORTH SIMOTON BLVD. KATHRYN SUE SIMONTON ELEMENTARY SCHOOL
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City | QUEEN CREEK
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State | AZ
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Zip | 85241
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Country | US
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Telephone | 480-987-5330
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Fax |
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Provider Business Mailing Address
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Address Line | 3800 W CHANDLER BLVD APT. 1094
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City | CHANDLER
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State | AZ
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Zip | 85226-3803
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Country | US
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Telephone | 480-274-2476
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | #SLPL5365
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License Number State | AZ
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