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General NPI Number Information
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NPI Number | 1093876617
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Entity Type | Individual
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Provider Name | JAMES PATRICK LYNCH MD
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Gender | Male
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Dates
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Enumeration Date | 12/13/2006
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | KUNSAN AIR BASE, KOREA PSC 2, BOX 274, APO AP
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City | KUNSAN
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State | KOREA
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Zip | 96264
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Country | KR
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Telephone | 01182634704913
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Fax |
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Provider Business Mailing Address
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Address Line | 590 BARKER PASS RD
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City | SANTA BARBARA
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State | CA
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Zip | 93108-1725
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Country | US
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Telephone | 805-969-0052
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | AFE48525
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License Number State | CA
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