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General NPI Number Information
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NPI Number | 1164598975
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Entity Type | Individual
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Provider Name | LYNN A MCCARTHY LICSW
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Gender | Female
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Dates
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Enumeration Date | 11/27/2006
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Last Update Date | 01/19/2017
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Provider Practice Location Address
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Address Line | 1981 BROAD ST 2ND FLOOR
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City | CRANSTON
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State | RI
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Zip | 02905-3430
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Country | US
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Telephone | 401-861-3800
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Fax | 401-861-3808
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Provider Business Mailing Address
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Address Line | 14 BRIDGE ST 2ND FLOOR
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City | CRANSTON
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State | RI
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Zip | 02905-3606
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Country | US
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Telephone | 401-861-3800
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Fax | 401-861-3808
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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 | 15W00187
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License Number State | RI
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