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General NPI Number Information
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NPI Number | 1326407842
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Entity Type | Individual
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Provider Name | LYNN SCHOLLE LCSW
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Gender | Female
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Dates
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Enumeration Date | 02/11/2016
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Last Update Date | 02/25/2016
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Provider Practice Location Address
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Address Line | 150 MUIR RD V.A. NORTHERN CA HEALTHCARE
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City | MARTINEZ
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State | CA
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Zip | 94553-4668
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Country | US
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Telephone | 707-287-5249
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 10227
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City | NAPA
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State | CA
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Zip | 94581-2227
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Country | US
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Telephone | 707-287-5249
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LCSW12671
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License Number State | CA
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