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General NPI Number Information
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NPI Number | 1356529218
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Entity Type | Organization
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Legal Business Name | EVALUATION SPECIALISTS, INC.
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Dates
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Enumeration Date | 02/03/2008
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Last Update Date | 02/03/2008
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Provider Practice Location Address
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Address Line | 1709 COLLEY AVE SUITE 306
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City | NORFOLK
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State | VA
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Zip | 23517-1675
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Country | US
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Telephone | 757-373-3449
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Fax | 757-351-6284
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Provider Business Mailing Address
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Address Line | 1709 COLLEY AVE SUITE 306
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City | NORFOLK
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State | VA
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Zip | 23517-1675
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Country | US
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Telephone | 757-373-3449
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Fax | 757-351-6284
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. KATI LYNCH
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Credential | PSY.D.
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Telephone | 757-373-3449
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number | 0810003449
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License Number State | VA
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