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General NPI Number Information
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NPI Number | 1003040890
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Entity Type | Organization
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Legal Business Name | AMY LYNN, LCPC, ATR
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Dates
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Enumeration Date | 05/07/2009
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Last Update Date | 05/07/2009
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Provider Practice Location Address
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Address Line | 3020 N LINCOLN AVE FLOURISH STUDIOS
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City | CHICAGO
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State | IL
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Zip | 60657-4208
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Country | US
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Telephone | 773-746-7429
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Fax |
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Provider Business Mailing Address
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Address Line | 2010 N SPAULDING AVE APT. 3
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City | CHICAGO
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State | IL
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Zip | 60647-3736
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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 | DIRECTOR/THERAPIST
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Name | AMY J LYNN
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Credential | LCPC
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Telephone | 773-746-7429
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 180.006965
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License Number State | IL
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