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General NPI Number Information
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NPI Number | 1154074565
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Entity Type | Individual
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Provider Name | MRS. CHRISTINE L LYON
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Gender | Female
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Dates
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Enumeration Date | 01/27/2022
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Last Update Date | 01/27/2022
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Provider Practice Location Address
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Address Line | 242 BOBIER RD N
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City | NEWPORT
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State | WA
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Zip | 99156-7712
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Country | US
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Telephone | 509-671-1600
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Fax |
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Provider Business Mailing Address
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Address Line | 242 BOBIER RD N
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City | NEWPORT
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State | WA
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Zip | 99156-7712
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Country | US
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Telephone | 509-671-1600
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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 | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | 5087
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License Number State | ID
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Taxonomy #2
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Taxonomy Code | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | 60969000
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License Number State | WA
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