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General NPI Number Information
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NPI Number | 1124112628
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Entity Type | Individual
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Provider Name | LYNN J SMITH LCSW
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Gender | Female
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Dates
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Enumeration Date | 10/02/2006
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Last Update Date | 01/26/2017
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Provider Practice Location Address
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Address Line | 585 PLANDOME RD STE 104A
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City | MANHASSET
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State | NY
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Zip | 11030-1971
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Country | US
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Telephone | 516-873-8399
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Fax |
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Provider Business Mailing Address
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Address Line | 464 MAIN ST APT 217
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City | PORT WASHINGTON
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State | NY
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Zip | 11050-3139
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Country | US
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Telephone | 516-873-8399
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 044909
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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