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General NPI Number Information
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NPI Number | 1194724815
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Entity Type | Individual
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Provider Name | CARL W. LYNN D.C.
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Gender | Male
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Dates
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Enumeration Date | 07/14/2005
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Last Update Date | 03/29/2024
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Provider Practice Location Address
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Address Line | 156 N MAIN ST
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City | CLAYTON
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State | GA
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Zip | 30525-4266
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Country | US
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Telephone | 706-782-7005
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Fax | 877-525-2590
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Provider Business Mailing Address
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Address Line | PO BOX 561
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City | CLAYTON
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State | GA
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Zip | 30525-0015
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Country | US
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Telephone | 706-782-7005
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Fax | 877-525-2590
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CHIR001944
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License Number State | GA
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