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General NPI Number Information
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NPI Number | 1104671346
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Entity Type | Individual
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Provider Name | SARAH BRIGID LYNN
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Gender | Female
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Dates
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Enumeration Date | 04/22/2024
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Last Update Date | 02/25/2025
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Provider Practice Location Address
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Address Line | 700 EASTGATE SOUTH DR STE 48
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City | CINCINNATI
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State | OH
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Zip | 45245-1594
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Country | US
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Telephone | 513-580-7416
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Fax |
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Provider Business Mailing Address
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Address Line | 2564 ERIE AVE APT 3
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City | CINCINNATI
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State | OH
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Zip | 45208-2029
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Country | US
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Telephone | 651-274-0862
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 30.027542
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License Number State | OH
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