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General NPI Number Information
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NPI Number | 1275734931
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Entity Type | Individual
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Provider Name | LYNAE EDMONDS DNP, RN, PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 05/30/2007
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Last Update Date | 06/19/2025
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Provider Practice Location Address
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Address Line | 340 NW 5TH ST STE 202
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City | REDMOND
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State | OR
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Zip | 97756-1869
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Country | US
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Telephone | 541-504-1228
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Fax | 541-527-3092
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Provider Business Mailing Address
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Address Line | 1059 NW MADRAS HWY
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City | PRINEVILLE
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State | OR
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Zip | 97754-1416
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Country | US
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Telephone | 541-323-5330
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Fax | 541-447-1121
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 10012855
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License Number State | OR
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