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General NPI Number Information
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NPI Number | 1013997691
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Entity Type | Organization
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Legal Business Name | LYNN COMMUNITY HEALTH, INC.
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Dates
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Enumeration Date | 01/19/2006
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Last Update Date | 06/30/2015
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Provider Practice Location Address
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Address Line | 269 UNION STREET
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City | LYNN
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State | MA
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Zip | 01901-1314
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Country | US
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Telephone | 781-596-2502
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Fax | 781-596-3966
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Provider Business Mailing Address
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Address Line | 269 UNION STREET
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City | LYNN
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State | MA
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Zip | 01901-1314
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Country | US
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Telephone | 781-596-2502
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Fax | 781-596-3966
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. LORI ABRAMS BERRY
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Credential | MSW/MPH
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Telephone | 781-596-2502
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number | 4735
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License Number State | MA
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