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General NPI Number Information
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NPI Number | 1336391416
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Entity Type | Individual
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Provider Name | GEORGE EMMETT LYNSKEY III M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/21/2008
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Last Update Date | 10/04/2021
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Provider Practice Location Address
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Address Line | 174 WATERFRONT ST STE 320
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City | OXON HILL
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State | MD
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Zip | 20745-1162
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Country | US
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Telephone | 301-276-5670
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Fax |
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Provider Business Mailing Address
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Address Line | 174 WATERFRONT ST STE 320
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City | OXON HILL
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State | MD
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Zip | 20745-1162
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Country | US
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Telephone | 301-276-5670
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Fax | 206-401-5919
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 250233
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number | MD040721
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License Number State | DC
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Taxonomy #3
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number | D76334
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License Number State | MD
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