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General NPI Number Information
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NPI Number | 1225943574
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Entity Type | Individual
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Provider Name | JESSICA LYNCH
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Gender | Female
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Dates
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Enumeration Date | 08/18/2026
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Last Update Date | 08/18/2026
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Provider Practice Location Address
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Address Line | 117 9TH ST
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City | BROOKLYN
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State | NY
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Zip | 11215-3108
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Country | US
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Telephone | 929-373-3568
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Fax |
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Provider Business Mailing Address
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Address Line | 715 OCEAN PKWY APT 1A
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City | BROOKLYN
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State | NY
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Zip | 11230-7815
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Country | US
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Telephone |
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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 | 221700000X
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Taxonomy Name | Art Therapist
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License Number | P138229-01
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License Number State | NY
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