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General NPI Number Information
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NPI Number | 1083036982
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Entity Type | Individual
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Provider Name | JACQUELINE ANN LYNCH CPM, RM
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Gender | Female
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Dates
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Enumeration Date | 01/10/2014
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Last Update Date | 10/08/2018
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Provider Practice Location Address
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Address Line | 9450 MONACO ST
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City | HENDERSON
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State | CO
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Zip | 80640
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Country | US
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Telephone | 720-724-7664
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2064
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City | BOULDER
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State | CO
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Zip | 80306-2064
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Country | US
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Telephone | 720-724-7446
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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 | 176B00000X
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Taxonomy Name | Midwife
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License Number | MWR.0000162
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License Number State | CO
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