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General NPI Number Information
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NPI Number | 1285635037
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Entity Type | Individual
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Provider Name | NANCY LYNNE NAMKA ED. D.
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Gender | Female
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Dates
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Enumeration Date | 08/02/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 7493 N ORACLE RD SUITE 123
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City | TUCSON
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State | AZ
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Zip | 85704-6343
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Country | US
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Telephone | 520-825-4766
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Fax | 520-825-0556
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Provider Business Mailing Address
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Address Line | 5398 E GOLDER RANCH DR
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City | TUCSON
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State | AZ
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Zip | 85739-4270
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Country | US
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Telephone | 520-825-4766
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Fax | 520-825-0556
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 1236
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License Number State | AZ
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