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General NPI Number Information
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NPI Number | 1205080843
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Entity Type | Individual
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Provider Name | PAMELA JEAN LYNCH RDH
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Gender | Female
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Dates
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Enumeration Date | 11/10/2008
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Last Update Date | 01/26/2011
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Provider Practice Location Address
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Address Line | 301 SW LINCOLN ST APT 1214
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City | PORTLAND
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State | OR
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Zip | 97201-5032
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Country | US
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Telephone | 541-643-4152
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Fax |
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Provider Business Mailing Address
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Address Line | 8495 SW HEMLOCK ST APT C
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City | TIGARD
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State | OR
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Zip | 97223-5837
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Country | US
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Telephone | 541-643-4152
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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 | 124Q00000X
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Taxonomy Name | Dental Hygienist
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License Number | IL 60127826
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 247200000X
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Taxonomy Name | Other Technician
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License Number | COS-FT-10125043
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License Number State | OR
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Taxonomy #3
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Taxonomy Code | 124Q00000X
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Taxonomy Name | Dental Hygienist
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License Number | H4846
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License Number State | OR
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Taxonomy #4
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Taxonomy Code | 124Q00000X
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Taxonomy Name | Dental Hygienist
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License Number | RDH22343
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License Number State | CA
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