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General NPI Number Information
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NPI Number | 1083598734
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Entity Type | Individual
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Provider Name | NADINE AMANDA LYONS LGPC
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Gender | Female
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Dates
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Enumeration Date | 08/05/2025
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Last Update Date | 08/05/2025
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Provider Practice Location Address
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Address Line | 210 ABRECHT PL
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City | FREDERICK
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State | MD
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Zip | 21701-4918
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Country | US
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Telephone | 301-662-3223
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Fax |
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Provider Business Mailing Address
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Address Line | 21914 BROADWAY AVE
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City | CLARKSBURG
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State | MD
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Zip | 20871-3475
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Country | US
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Telephone | 240-640-9499
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | LGP16093
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License Number State | MD
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