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General NPI Number Information
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NPI Number | 1033280714
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Entity Type | Individual
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Provider Name | MARY ANN LYONS L.M.F.T., CMHS
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Gender | Female
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Dates
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Enumeration Date | 11/13/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 17544 MIDVALE AVE N SUITE 206
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City | SHORELINE
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State | WA
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Zip | 98133-4921
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Country | US
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Telephone | 206-240-9490
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Fax |
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Provider Business Mailing Address
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Address Line | 1429 227TH PL SW
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City | BOTHELL
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State | WA
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Zip | 98021-9453
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Country | US
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Telephone | 425-488-3882
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Fax | 425-482-2392
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | LF00000993
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License Number State | WA
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