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General NPI Number Information
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NPI Number | 1215556972
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Entity Type | Individual
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Provider Name | VICTORIA A LYONS MHRT-C/B, CADC
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Gender | Female
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Dates
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Enumeration Date | 04/13/2020
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Last Update Date | 04/13/2020
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Provider Practice Location Address
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Address Line | 32 N HIGH ST
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City | BRIDGTON
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State | ME
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Zip | 04009-1125
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Country | US
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Telephone | 207-647-5629
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Fax | 207-647-2803
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Provider Business Mailing Address
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Address Line | PO BOX 170
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City | BRIDGTON
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State | ME
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Zip | 04009-0170
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Country | US
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Telephone | 207-647-5629
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Fax | 207-647-2803
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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