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General NPI Number Information
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NPI Number | 1053577882
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Entity Type | Individual
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Provider Name | JAMIE LYNN LYNCH M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/31/2008
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Last Update Date | 05/19/2020
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Provider Practice Location Address
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Address Line | 18626 HARDY OAK BLVD STE 101
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City | SAN ANTONIO
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State | TX
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Zip | 78258-4218
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Country | US
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Telephone | 210-878-4116
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Fax | 210-878-4113
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Provider Business Mailing Address
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Address Line | ID# 2163 PO BOX 659506
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City | SAN ANTONIO
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State | TX
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Zip | 78265-9506
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Country | US
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Telephone | 210-878-4116
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Fax | 210-878-4113
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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 | 207XX0005X
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Taxonomy Name | Sports Medicine (Orthopaedic Surgery) Physician
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License Number | P4344
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License Number State | TX
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