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General NPI Number Information
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NPI Number | 1073854469
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Entity Type | Organization
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Legal Business Name | A LYNN DOLSON, MD, LLC
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Dates
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Enumeration Date | 03/08/2013
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Last Update Date | 03/08/2013
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Provider Practice Location Address
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Address Line | 1614 MAHAN CENTER BLVD SUITE 103
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City | TALLAHASSEE
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State | FL
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Zip | 32308-5474
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Country | US
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Telephone | 850-591-9703
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Fax |
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Provider Business Mailing Address
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Address Line | 1614 MAHAN CENTER BLVD SUITE 103
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City | TALLAHASSEE
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State | FL
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Zip | 32308-5474
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Country | US
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Telephone | 850-591-9703
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | DR. LYNN DOLSON
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Credential | MD
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Telephone | 850-591-9703
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2083P0901X
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Taxonomy Name | Public Health & General Preventive Medicine Physician
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License Number | ME58576
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License Number State | FL
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