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General NPI Number Information
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NPI Number | 1972604387
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Entity Type | Individual
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Provider Name | MICHAEL B. FINEGAN PH.D.
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Gender | Male
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Dates
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Enumeration Date | 09/26/2006
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Last Update Date | 09/30/2009
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Provider Practice Location Address
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Address Line | 102 W MARKET ST
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City | SALISBURY
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State | MD
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Zip | 21801-4933
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Country | US
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Telephone | 410-860-2673
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Fax | 410-860-0450
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Provider Business Mailing Address
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Address Line | PO BOX 1119
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City | ALLEN
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State | MD
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Zip | 21810-1119
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Country | US
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Telephone | 410-546-5455
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY1000182
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | B1-0000658
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License Number State | DE
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Taxonomy #3
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 01935
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License Number State | MD
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Taxonomy #4
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 0810003244
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License Number State | VA
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