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General NPI Number Information
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NPI Number | 1003655713
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Entity Type | Individual
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Provider Name | SARAH J LYNCH MSW
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Gender | Female
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Dates
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Enumeration Date | 05/22/2024
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Last Update Date | 05/22/2024
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Provider Practice Location Address
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Address Line | 1500 N CLYBOURN AVE UNIT C105
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City | CHICAGO
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State | IL
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Zip | 60610-2295
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Country | US
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Telephone | 312-242-1665
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Fax |
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Provider Business Mailing Address
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Address Line | 838 W ALTGELD ST APT 3
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City | CHICAGO
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State | IL
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Zip | 60614-0885
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Country | US
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Telephone | 248-494-3796
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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