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General NPI Number Information
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NPI Number | 1154582658
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Entity Type | Organization
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Legal Business Name | THELMA F. LYNCH, RN, PH.D., PA
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Dates
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Enumeration Date | 06/18/2008
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Last Update Date | 06/18/2008
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Provider Practice Location Address
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Address Line | 1806 TOWN PLAZA CT
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City | WINTER SPRINGS
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State | FL
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Zip | 32708-6206
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Country | US
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Telephone | 407-695-3664
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Fax | 407-695-3674
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Provider Business Mailing Address
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Address Line | 1806 TOWN PLAZA CT
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City | WINTER SPRINGS
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State | FL
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Zip | 32708-6206
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Country | US
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Telephone | 407-695-3664
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Fax | 407-695-3674
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Authorized Official
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Title or Position | D.P.
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Name | DR. THELMA F. LYNCH
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Credential | RN, PH.D., PA
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Telephone | 407-695-3664
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PY6447
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License Number State | FL
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