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General NPI Number Information
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NPI Number | 1245708908
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Entity Type | Individual
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Provider Name | PATRICK AARON LYNCH LAC
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Gender | Male
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Dates
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Enumeration Date | 11/10/2018
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Last Update Date | 11/10/2018
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Provider Practice Location Address
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Address Line | 8050 SE 13TH AVE STE 102
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City | PORTLAND
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State | OR
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Zip | 97202-6694
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Country | US
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Telephone | 503-360-3068
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Fax |
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Provider Business Mailing Address
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Address Line | 9312 SE 29TH AVE
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City | MILWAUKIE
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State | OR
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Zip | 97222-6402
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Country | US
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Telephone | 503-360-3068
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AC189187
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License Number State | OR
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