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General NPI Number Information
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NPI Number | 1356482327
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Entity Type | Individual
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Provider Name | LYNN ROBERTS PSYD
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Gender | Female
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Dates
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Enumeration Date | 02/10/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 30 LAFAYETTE SQ STE 1B
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City | VERNON
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State | CT
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Zip | 06066-4554
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Country | US
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Telephone | 860-869-3246
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Fax | 860-871-4917
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Provider Business Mailing Address
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Address Line | 38 RIDGEBROOK DR
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City | WEST HARTFORD
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State | CT
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Zip | 06107-3334
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Country | US
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Telephone | 860-869-3246
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 2608
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License Number State | CT
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