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General NPI Number Information
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NPI Number | 1164902557
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Entity Type | Individual
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Provider Name | SPENCER LYNCH APRN NP-C
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Gender | Female
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Dates
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Enumeration Date | 08/15/2018
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Last Update Date | 08/15/2018
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Provider Practice Location Address
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Address Line | 13 BROWN ST
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City | PROVIDENCE
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State | RI
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Zip | 02912-9006
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Country | US
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Telephone | 401-863-3953
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Fax |
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Provider Business Mailing Address
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Address Line | 17 OAK ST
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City | FOXBORO
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State | MA
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Zip | 02035-1219
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Country | US
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Telephone | 508-269-2106
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN01874
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License Number State | RI
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