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General NPI Number Information
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NPI Number | 1346818564
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Entity Type | Individual
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Provider Name | MITCHELL ANTHONY LYNN MD/MBA
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Gender | Male
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Dates
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Enumeration Date | 06/14/2021
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Last Update Date | 06/20/2022
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Provider Practice Location Address
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Address Line | 1 BARNES JEWISH HOSPITAL PLZ
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City | SAINT LOUIS
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State | MO
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Zip | 63110-1003
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Country | US
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Telephone | 314-362-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 4401 WORNALL RD
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City | KANSAS CITY
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State | MO
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Zip | 64111-3220
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Country | US
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Telephone | 816-932-2237
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Fax | 816-932-5179
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 2021021814
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 2022013571
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License Number State | MO
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