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General NPI Number Information
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NPI Number | 1992498802
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Entity Type | Organization
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Legal Business Name | FINITO LLC
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Dates
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Enumeration Date | 05/29/2023
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Last Update Date | 05/29/2023
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Provider Practice Location Address
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Address Line | 440 WHITTIER LN
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City | NORTHFIELD
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State | IL
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Zip | 60093-2924
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Country | US
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Telephone | 909-964-7006
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Fax |
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Provider Business Mailing Address
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Address Line | 30 N GOULD ST STE R
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City | SHERIDAN
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State | WY
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Zip | 82801-6317
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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 | CEO
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Name | SHUAI XU
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Credential | MD
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Telephone | 909-964-7006
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number |
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License Number State |
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