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General NPI Number Information
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NPI Number | 1982334439
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Entity Type | Individual
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Provider Name | PATRICK MICHAEL FINEGAN DNP, RN, CPNP
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Gender | Male
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Dates
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Enumeration Date | 06/15/2022
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Last Update Date | 06/15/2022
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Provider Practice Location Address
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Address Line | 4967 CROOKS RD STE 250
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City | TROY
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State | MI
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Zip | 48098-5809
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Country | US
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Telephone | 248-654-6499
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Fax |
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Provider Business Mailing Address
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Address Line | 2402 N BURGETT LN
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City | GRASS LAKE
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State | MI
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Zip | 49240-9442
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Country | US
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Telephone | 586-565-0556
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 4704320392
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License Number State | MI
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