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General NPI Number Information
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NPI Number | 1003274374
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Entity Type | Individual
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Provider Name | LYNNE HENRY
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Gender | Female
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Dates
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Enumeration Date | 02/02/2016
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Last Update Date | 08/30/2023
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Provider Practice Location Address
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Address Line | 5590 BEAR RD
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City | NORTH SYRACUSE
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State | NY
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Zip | 13212-1649
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Country | US
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Telephone | 315-218-2400
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Fax |
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Provider Business Mailing Address
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Address Line | 8305 SPICEBUSH TRL
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City | LIVERPOOL
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State | NY
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Zip | 13090-1206
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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 |
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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 |
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License Number State |
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